Pediatric Neurology
Volume 24, Issue 5 , Pages 379-381, May 2001

The protective effect of brachial plexus palsy in purpura fulminans

  • Tina M Schade Willis, MD

      Affiliations

    • Department of Pediatrics; University of Nebraska Medical Center, Omaha, NE, USA
    • Creighton University Medical Center; Omaha, Nebraska, USA
    • ,
  • Russell J Hopp, DO

      Affiliations

    • Creighton University Medical Center; Omaha, Nebraska, USA
    • ,
  • Jose R Romero, MD

      Affiliations

    • Department of Pediatrics; University of Nebraska Medical Center, Omaha, NE, USA
    • Creighton University Medical Center; Omaha, Nebraska, USA
    • ,
  • Paul D Larsen, MD

      Affiliations

    • Department of Pediatrics; University of Nebraska Medical Center, Omaha, NE, USA
    • Corresponding Author InformationCommunications should be addressed to: Dr. Larsen; Division of Pediatric Neurology; 985165 Nebraska Medical Center; Omaha, NE 68198-5165

Received 16 October 2000; accepted 22 January 2001.

Abstract 

Acute infectious purpura fulminans is reported in a 16-month-old male with a history of posttraumatic asplenia and complete left brachial plexus palsy. This patient developed peripheral necrosis of both lower extremities and the right upper extremity, whereas the left upper extremity was completely spared from ischemia and tissue damage. Amputation of four digits on the right hand and debridement of both lower extremities were required. This patient demonstrated the protective effect of a traumatic sympathectomy, which suggests the requirement of an intact sympathetic reflex in the development of purpura fulminans.

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PII: S0887-8994(01)00255-7

Pediatric Neurology
Volume 24, Issue 5 , Pages 379-381, May 2001

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