DERMATOLOGY COMMUNITY
Petichiae & Purpura following Kenalog injections and 84-year-old woman

Petichiae & Purpura following Kenalog injections and 84-year-old woman

4510228?1243560755
Ten weeks after receiving the third Kenalog injection over a nine-month period, multiple petichial hemorrhages appeared on the torso of my 84-year-old mother, eventually spreading to her neck and limbs.  Since then, the hemorrhages have grown in size, appearing mostly on her limbs.  The three photographs show the progression.  In the second photograph, spontaneous bleeding of a ½” hemorrhage can be seen.  The third photograph (attached) shows the same hemorrhage 23 days later.

She has mild heart failure and hypertension (125/75 -145/90) and was taking the following medications until three days ago:
Coreg 25 mg x 2
Lipitor 20 mg x 1
Spironolactone 25 mg x 1
Aspirin 81 mg x 1
Amitriptyline 25 mg x 1
Calcium 630 mg x 2
Vitamin D 1000 IU x 2
Glucosamine 1500 mg x 1
Chondroitin 1200 mg x 1
Four days ago she suffered a cerebral thrombosis affecting her speech center, was given t-PA, and recovered.  Plavix (75 mg once per day) was added to her drug regimen  Mirtazapine (7.5 mg once per day) was prescribed in place of amitriptyline and the aspirin dosage increased from 81 mg to 325 mg daily.

The question is: What is causing the continuing appearance of new hemorrhages?

Multiple physicians have been unable to answer the question.  Any insight would be greatly appreciated. (The most recent photo is displayed; please see profile for first and second photographs.)
3 Comments Post a Comment
Blank
Avatar_n_tn
the purpura is caused directly by the aspirin. I am taking my husband off aspirin therapy right now.
Blank
Avatar_m_tn
Gee, that picture looks amazingly similar to this one. Except the dots are are little darker than your moms and the bruise like spot are not quite as bad as your mom. But this is common. So here is a link to copy and paste into your browser. And the connection is that the drug she took before this happened may have weakened her immune system thus in walked Allergic contact dermatitis. And I would guess allergy to polyester. But if this picture doesn't sit you back in your chair from looking like the same exact thing, nothing does that to you! Oh yeah scroll down to the leg pics.

http://www.dermnet.com/Allergic-Contact-Dermatitis/photos/14

Blank
Avatar_m_tn
Or she already had a tolerable case of ACD "Allergic contact dermatitis" Which is clearly shown by the little red dots which would have never bothered her. And the meds bringing her immune down over time causing this already existing condition to get worse. The next level of severity.
Blank
Have a Dermatology question?
100,000+ doctor answers
Post a Comment
To
Comment
Post A Comment
Go
Blank
Food Diary Tracker
What are you eating?
Start Tracking Now
MedHelp Health Answers
Submit
Blank
My Diet Diary
The ideal weight loss app
Download Now
Top Dermatology Answerers
209987_tn?1334790318
Blank
tschock
AB
995833_tn?1336663431
Blank
maatson
Other
1939607_tn?1324292900
Blank
nefeli1986
Greece
757137_tn?1316284120
Blank
allmymarbles
NJ
363110_tn?1332738103
Blank
martikadragoon
Hemet, CA
168348_tn?1333651418
Blank
ChitChatNine
RSS Expert Activity
1741471_tn?1336957856
Blank
LIVE WEBINAR TOMORROW!-SUPER BODY, ... Blank
May 22 by Michael Gonzalez-WallaceBlank
2126606_tn?1335910182
Blank
Fibromyalgia Awareness
May 11 by Clare Waismann Kavin, RASBlank
2126606_tn?1335910182
Blank
Opioid-induced hyperalgesia reduces...
May 03 by Clare Waismann Kavin, RASBlank