MCID: PRP034
MIFTS: 42

Purpura Fulminans

Categories: Blood diseases, Rare diseases

Aliases & Classifications for Purpura Fulminans

MalaCards integrated aliases for Purpura Fulminans:

Name: Purpura Fulminans 12 54 43 15 17 71
Purpura Gangrenosa 12

Classifications:



External Ids:

Disease Ontology 12 DOID:0060538
MeSH 43 D055665
ICD10 32 D65
UMLS 71 C0085650

Summaries for Purpura Fulminans

Disease Ontology : 12

MalaCards based summary : Purpura Fulminans, also known as purpura gangrenosa, is related to protein c deficiency and protein s deficiency. An important gene associated with Purpura Fulminans is PROC (Protein C, Inactivator Of Coagulation Factors Va And VIIIa), and among its related pathways/superpathways are Response to elevated platelet cytosolic Ca2+ and Collagen chain trimerization. The drugs Protein C and Fibrinolytic Agents have been mentioned in the context of this disorder. Affiliated tissues include skin, liver and bone, and related phenotypes are cardiovascular system and embryo

Wikipedia : 74 Purpura fulminans is an acute, often fatal, thrombotic disorder which manifests as blood spots, bruising... more...

Related Diseases for Purpura Fulminans

Diseases in the Purpura Fulminans family:

Acquired Purpura Fulminans

Diseases related to Purpura Fulminans via text searches within MalaCards or GeneCards Suite gene sharing:

(show top 50) (show all 334)
# Related Disease Score Top Affiliating Genes
1 protein c deficiency 32.0 SERPINC1 PROCR PROC F5 F2 APOH
2 protein s deficiency 31.7 SERPINC1 PROS1 PROC F5 F3 F2
3 purpura 31.0 SERPINC1 PROS1 PROCR PROC F3 F2
4 waterhouse-friderichsen syndrome 30.9 SERPINC1 F2
5 compartment syndrome 30.8 SERPINC1 F3 F2
6 leech infestation 30.7 SERPINC1 F3
7 meningococcemia 30.7 SERPINC1 PROCR PROC F5
8 endocarditis 30.6 SERPINC1 F2 APOH
9 lemierre's syndrome 30.5 F3 F2
10 thrombophlebitis migrans 30.4 SERPINC1 F3
11 anuria 30.4 F3 F2
12 disseminated intravascular coagulation 30.3 SERPINF2 SERPINC1 PROCR F5 F3 F2
13 mitral valve stenosis 30.2 SERPINC1 F3 F2
14 factor vii deficiency 30.2 SERPINC1 F3 F2
15 aspiration pneumonia 30.0 F3 F2
16 thrombotic thrombocytopenic purpura 29.9 SERPINF2 SERPINC1 F3 APOH
17 thrombocytopenia 29.6 SERPINC1 F5 F3 F2 APOH
18 catastrophic antiphospholipid syndrome 29.5 PROC F5 F3 APOH
19 acute promyelocytic leukemia 29.5 SERPINF2 SERPINC1 F3 F2
20 antiphospholipid syndrome 29.3 SERPINC1 PROCR F5 F3 F2 APOH
21 thrombophilia due to activated protein c resistance 29.1 SERPINF2 SERPINC1 F5 F3 F2 APOH
22 thrombophilia due to thrombin defect 29.1 SERPINC1 PROCR PROC F5 F3 F2
23 vascular disease 29.1 SERPINC1 F5 F3 F2 APOH
24 afibrinogenemia, congenital 29.1 SERPINF2 SERPINC1 F5 F3 F2
25 inflammatory bowel disease 28.9 SERPINC1 PROCR F5 F3 F2
26 thrombophlebitis 28.4 SERPINF2 SERPINC1 PROS1 PROC F5 F3
27 pulmonary embolism 28.3 SERPINF2 SERPINC1 PROS1 PROC F5 F3
28 thrombophilia 28.1 SERPINF2 SERPINC1 PROS1 PROCR PROC F5
29 thrombosis 28.0 SERPINF2 SERPINC1 PROS1 PROCR PROC F5
30 acquired purpura fulminans 12.6
31 thrombophilia due to protein c deficiency, autosomal recessive 11.9
32 thrombophilia due to protein s deficiency, autosomal recessive 11.9
33 chickenpox 10.8
34 toxic shock syndrome 10.8
35 exanthem 10.6
36 meningitis 10.6
37 vasculitis 10.5
38 neisseria meningitidis infection 10.5
39 femoral vein thrombophlebitis 10.4 PROC F2
40 acute kidney failure 10.4
41 scarlet fever 10.4
42 gastric hemangioma 10.4 F3 F2
43 synovial angioma 10.4 F3 F2
44 renal pelvis squamous cell carcinoma 10.4 F3 F2
45 papillary adenofibroma 10.4 F3 F2
46 emphysematous cholecystitis 10.4 F3 F2
47 femoral neuropathy 10.4 F3 F2
48 heparin-induced thrombocytopenia 10.4 SERPINC1 F3
49 lateral sinus thrombosis 10.4 SERPINC1 F2
50 qualitative platelet defect 10.4 F3 F2

Graphical network of the top 20 diseases related to Purpura Fulminans:



Diseases related to Purpura Fulminans

Symptoms & Phenotypes for Purpura Fulminans

MGI Mouse Phenotypes related to Purpura Fulminans:

45
# Description MGI Source Accession Score Top Affiliating Genes
1 cardiovascular system MP:0005385 9.76 ADAM10 F2 F3 F5 PROC PROCR
2 embryo MP:0005380 9.5 ADAM10 F2 F3 F5 PROCR PROS1
3 homeostasis/metabolism MP:0005376 9.32 ADAM10 APOH F2 F3 F5 PROC

Drugs & Therapeutics for Purpura Fulminans

Drugs for Purpura Fulminans (from DrugBank, HMDB, Dgidb, PharmGKB, IUPHAR, NovoSeek, BitterDB):

(show all 13)
# Name Status Phase Clinical Trials Cas Number PubChem Id
1
Protein C Approved Phase 3
2 Fibrinolytic Agents Phase 3
3 Anticoagulants Phase 3
4 Drotrecogin alfa activated Phase 3
5 Anti-Infective Agents Phase 3
6
Hydrocortisone acetate Approved, Vet_approved Phase 2 50-03-3
7
Hydrocortisone Approved, Vet_approved Phase 2 50-23-7 5754
8 Anti-Inflammatory Agents Phase 2
9 Hydrocortisone hemisuccinate Phase 2
10 Hydrocortisone-17-butyrate Phase 2
11 Hydrocortisone 17-butyrate 21-propionate Phase 2
12 Natriuretic Agents
13 Natriuretic Peptide, Brain

Interventional clinical trials:


# Name Status NCT ID Phase Drugs
1 Investigation of the Efficacy and Safety of Drotrecogin Alfa (Activated) in Pediatric Severe Sepsis Completed NCT00049764 Phase 3 Drotrecogin alfa (activated);Placebo
2 Evaluation of Corticosteroid Therapy in Childhood Severe Sepsis (Steroids in Paediatric Sepsis, StePS) - a Randomised Pilot Study Completed NCT00732277 Phase 2 hydrocortisone
3 Septic cArdiac Deficiency and MenIngococcal seveRe Sepsis Unknown status NCT02041663
4 Short and Long-term Outcomes of Purpura Fulminans in Adults Completed NCT03216577
5 Sepsis-Associated Purpura Fulminans International Registry - Europe Recruiting NCT02238795

Search NIH Clinical Center for Purpura Fulminans

Cochrane evidence based reviews: purpura fulminans

Genetic Tests for Purpura Fulminans

Anatomical Context for Purpura Fulminans

MalaCards organs/tissues related to Purpura Fulminans:

40
Skin, Liver, Bone, Kidney, T Cells, Brain, Heart

Publications for Purpura Fulminans

Articles related to Purpura Fulminans:

(show top 50) (show all 921)
# Title Authors PMID Year
1
Fulminant sepsis/meningitis due to Haemophilus influenzae in a protein C-deficient heterozygote treated with activated protein C therapy. 54 61
18751723 2009
2
Pneumococcal purpura fulminans successfully treated with activated protein C. 54 61
18791506 2008
3
Modern concepts of the diagnosis and treatment of purpura fulminans. 54 61
18652566 2008
4
Hereditary angioedema associated with heterozygous factor V Leiden mutation in a patient with Purpura fulminans. 54 61
17068406 2007
5
Treatment of acute infectious purpura fulminans with activated protein C. 54 61
16820663 2006
6
[Sepsis-associated coagulation disorders]. 54 61
15924156 2005
7
Purpura fulminans due to Staphylococcus aureus. 54 61
15824983 2005
8
Homozygous type I Protein C deficiency in neonatal purpura fulminans with a novel frame-shift deletion of 10 base pairs in exon 8 of PROC gene. 54 61
15748260 2005
9
Massive soft tissue infections: necrotizing fasciitis and purpura fulminans. 54 61
15715517 2005
10
[Recombinant human activated protein C in the treatment of children with meningococcal purpura fulminans]. 54 61
15469811 2004
11
Importance of hemostatic gene polymorphisms for susceptibility to and outcome of severe sepsis. 54 61
15118537 2004
12
Purpura fulminans due to Streptococcus pneumoniae sepsis following gastric bypass. 54 61
15186640 2004
13
Activated protein C concentrate reverses purpura fulminans in severe genetic protein C deficiency. 54 61
14707707 2004
14
Combined antithrombin and protein C supplementation in meningococcal purpura fulminans: a pharmacokinetic study. 54 61
12761614 2003
15
Purpura fulminans in a child with combined heterozygous prothrombin G20210A and factor V Leiden mutations. 54 61
12601492 2003
16
Severe protein S deficiency associated with heterozygous factor V Leiden mutation in a child with purpura fulminans. 54 61
12687747 2003
17
[Physiopathology and curative treatment of meningococcal diseases: current aspects]. 54 61
12504371 2002
18
Plasma exchange as a source of protein C for acute onset protein C pathway failure. 54 61
11886399 2002
19
An open-label study of the role of adjuvant hemostatic support with protein C replacement therapy in purpura fulminans-associated meningococcemia. 54 61
11090052 2000
20
Severe digital necrosis in an elderly patient with heterozygous factor V Leiden mutation. 54 61
11122039 2000
21
A case of purpura fulminans is caused by homozygous delta8857 mutation (protein C-nagoya) and successfully treated with activated protein C concentrate. 54 61
10997987 2000
22
Postinfection purpura fulminans in a patient heterozygous for prothrombin G20210A and acquired protein S resistance. 54 61
10599098 1999
23
Effect of the Factor V Leiden mutation on the severity of meningococcal disease. 54 61
10530586 1999
24
Adult purpura fulminans and digital necrosis associated with sepsis and the factor V mutation. 54 61
9846775 1998
25
Varicella purpura fulminans associated with heterozygosity for factor V leiden and transient protein S deficiency. 54 61
9794956 1998
26
Homozygous Factor V Leiden mutation in a child with meningococcal purpura fulminans. 54 61
9469407 1998
27
[Purpura fulminans in the newborn. Report of two cases successfully treated with heparin and antithrombin III]. 54 61
9577159 1997
28
Purpura fulminans induced by disseminated intravascular coagulation following infection in 2 unrelated children with double heterozygosity for factor V Leiden and protein S deficiency. 54 61
9241737 1997
29
Neonatal purpura fulminans in association with factor V R506Q mutation. 54 61
8627449 1996
30
Meningococcal purpura fulminans treated with antithrombin III concentrate: what is the optimal replacement therapy? 54 61
7848164 1994
31
A homozygous deletion/insertion mutation in the protein C (PROC) gene causing neonatal Purpura fulminans: prenatal diagnosis in an at-risk pregnancy. 54 61
7841323 1994
32
Meningococcemia and purpura fulminans in adults: acute deficiencies of proteins C and S and early treatment with antithrombin III concentrates. 54 61
2139671 1990
33
Vasculitis with nonpalpable purpura resembling purpura fulminans. 61
31776714 2020
34
Compartment syndrome due to Capnocytophaga canimorsus infection: a case report. 61
31988786 2020
35
[Inflammatory myopathy following acute meningoccemia in a properdin-deficient patient: A case report]. 61
31735371 2020
36
The surgical strategy of Purpura fulminans triggered by pyothorax associated with lung cancer. 61
32002466 2020
37
Fulminant Neisseria meningitidis septicaemia with purpura fulminans requiring limb amputation. 61
31879595 2020
38
Purpura Fulminans: a Rare but Fierce Presentation of Pneumococcal Sepsis. 61
32015972 2020
39
Streptococcus pyogenes purpura fulminans and septic shock: A case highlighting the ethical considerations of high-risk extracorporeal membrane oxygenation. 61
31984828 2020
40
Vaccine-preventable meningitis in French children with incorrect vaccination status from 2011 to 2013. 61
31776077 2020
41
Community-acquired bacterial meningitis in adults: in-hospital prognosis, long term disability and determinants of outcome in a multicentre prospective cohort. 61
31927117 2020
42
Streptococcal toxic shock syndrome in a returning traveller. 61
30369302 2019
43
Successful treatment of meningococcal bacteremia using oral doxycycline: A case report. 61
31887457 2019
44
Idiopathic purpura fulminans. 61
31801806 2019
45
Extracorporeal Membrane Oxygenation in Adult Patients With Purpura Fulminans. 61
31738265 2019
46
Pediatric Cutaneous Emergencies and their Outcome: Study from a Tertiary Care Center in South India. 61
31807443 2019
47
Disseminated Intravascular Coagulation With Purpura Fulminans Presentation of Acute Promyelocytic Leukemia. 61
31763615 2019
48
Prothrombotic and Proinflammatory Activities of the β-Hemolytic Group B Streptococcal Pigment. 61
31743913 2019
49
Hereditary protein C deficiency caused by novel compound heterozygous mutants in a Chinese pedigree: A case report. 61
31521534 2019
50
Protein C Deficiency. 61
30702334 2019

Variations for Purpura Fulminans

Expression for Purpura Fulminans

Search GEO for disease gene expression data for Purpura Fulminans.

Pathways for Purpura Fulminans

Pathways related to Purpura Fulminans according to GeneCards Suite gene sharing:

# Super pathways Score Top Affiliating Genes
1
Show member pathways
12.93 SERPINF2 SERPINC1 SERPINA1 PROS1 PROCR PROC
2
Show member pathways
12.52 SERPINC1 PROS1 PROC F5 F3 F2
3
Show member pathways
11.92 PROS1 PROCR PROC F2
4
Show member pathways
11.76 SERPINF2 SERPINC1 PROS1 PROCR PROC F5
5
Show member pathways
11.61 PROS1 PROC F2
6 11.44 SERPINF2 SERPINC1 SERPINA1 PROS1 PROCR PROC
7 10.61 PROS1 PROC F2

GO Terms for Purpura Fulminans

Cellular components related to Purpura Fulminans according to GeneCards Suite gene sharing:

# Name GO ID Score Top Affiliating Genes
1 extracellular exosome GO:0070062 10.01 SERPINF2 SERPINC1 SERPINA1 PROS1 PROCR F2
2 extracellular region GO:0005576 9.96 SERPINF2 SERPINC1 SERPINA1 PROS1 PROCR PROC
3 cell surface GO:0009986 9.83 SERPINF2 PROCR F3 APOH ADAM10
4 blood microparticle GO:0072562 9.67 SERPINF2 SERPINC1 PROS1 F2
5 Golgi lumen GO:0005796 9.63 PROS1 PROC F2
6 collagen-containing extracellular matrix GO:0062023 9.63 SERPINF2 SERPINC1 SERPINA1 F3 F2 APOH
7 platelet alpha granule lumen GO:0031093 9.62 SERPINF2 SERPINA1 PROS1 F5
8 endoplasmic reticulum lumen GO:0005788 9.43 SERPINC1 SERPINA1 PROC F5 F2 ADAM10
9 extracellular space GO:0005615 9.32 SERPINF2 SERPINC1 SERPINA1 PROS1 PROCR PROC

Biological processes related to Purpura Fulminans according to GeneCards Suite gene sharing:

(show all 17)
# Name GO ID Score Top Affiliating Genes
1 post-translational protein modification GO:0043687 9.88 SERPINC1 SERPINA1 PROC F5 ADAM10
2 negative regulation of endopeptidase activity GO:0010951 9.8 SERPINF2 SERPINC1 SERPINA1 PROS1
3 ER to Golgi vesicle-mediated transport GO:0006888 9.8 SERPINA1 PROS1 PROC F5 F2
4 negative regulation of peptidase activity GO:0010466 9.72 SERPINF2 SERPINC1 SERPINA1
5 acute-phase response GO:0006953 9.69 SERPINF2 SERPINA1 F2
6 platelet degranulation GO:0002576 9.65 SERPINF2 SERPINA1 PROS1 F5 APOH
7 fibrinolysis GO:0042730 9.63 SERPINF2 PROS1 F2
8 cellular protein metabolic process GO:0044267 9.63 SERPINC1 SERPINA1 PROC F5 F2 ADAM10
9 negative regulation of blood coagulation GO:0030195 9.61 PROS1 PROC APOH
10 positive regulation of collagen biosynthetic process GO:0032967 9.57 SERPINF2 F2
11 blood coagulation, intrinsic pathway GO:0007597 9.56 F2 APOH
12 blood coagulation GO:0007596 9.56 SERPINC1 SERPINA1 PROS1 PROCR PROC F5
13 positive regulation of blood coagulation GO:0030194 9.54 F2 APOH
14 regulation of blood coagulation GO:0030193 9.54 SERPINC1 F2 APOH
15 negative regulation of coagulation GO:0050819 9.52 PROCR PROC
16 negative regulation of fibrinolysis GO:0051918 9.5 SERPINF2 F2 APOH
17 hemostasis GO:0007599 9.23 SERPINC1 SERPINA1 PROS1 PROCR PROC F5

Molecular functions related to Purpura Fulminans according to GeneCards Suite gene sharing:

# Name GO ID Score Top Affiliating Genes
1 heparin binding GO:0008201 9.5 SERPINC1 F2 APOH
2 serine-type endopeptidase activity GO:0004252 9.43 PROC F3 F2
3 peptidase inhibitor activity GO:0030414 9.33 SERPINF2 SERPINC1 SERPINA1
4 serine-type endopeptidase inhibitor activity GO:0004867 9.13 SERPINF2 SERPINC1 SERPINA1
5 protease binding GO:0002020 8.92 SERPINF2 SERPINC1 SERPINA1 F3

Sources for Purpura Fulminans

3 CDC
7 CNVD
9 Cosmic
10 dbSNP
11 DGIdb
17 EFO
18 ExPASy
19 FMA
28 GO
29 GTR
30 HMDB
31 HPO
32 ICD10
33 ICD10 via Orphanet
34 ICD9CM
35 IUPHAR
36 KEGG
37 LifeMap
39 LOVD
41 MedGen
43 MeSH
44 MESH via Orphanet
45 MGI
48 NCI
49 NCIt
50 NDF-RT
53 NINDS
54 Novoseek
56 OMIM
57 OMIM via Orphanet
61 PubMed
63 QIAGEN
68 SNOMED-CT via HPO
69 TGDB
70 Tocris
71 UMLS
72 UMLS via Orphanet
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