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MCID: PRP034
MIFTS: 45

Purpura Fulminans

Categories: Blood diseases, Rare diseases, Skin diseases
Genes Tissues Related diseases Publications Pathways Drugs
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Aliases & Classifications for Purpura Fulminans

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MalaCards integrated aliases for Purpura Fulminans:

Name: Purpura Fulminans 12 55 44 15 73
Purpura Gangrenosa 12

Classifications:

MalaCards categories:
Global: Rare diseases
Anatomical: Blood diseases Skin diseases
See all MalaCards categories (disease lists)
ICD10: 33


External Ids:

Disease Ontology 12 DOID:0060538
ICD10 33 D65
MeSH 44 D055665
UMLS 73 C0085650
Sources

Summaries for Purpura Fulminans

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Disease Ontology : 12 A purpura characterized blood spots, bruising and discolouration of the skin resulting from coagulation in small blood vessels within the skin and rapidly leads to skin necrosis and disseminated intravascular coagulation. It is often fatal.

MalaCards based summary : Purpura Fulminans, also known as purpura gangrenosa, is related to protein c deficiency and purpura. 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 Povidone-iodine have been mentioned in the context of this disorder. Affiliated tissues include skin, brain and bone, and related phenotypes are cardiovascular system and embryo

Wikipedia : 76 Purpura fulminans is an acute, often fatal, thrombotic disorder which manifests as blood spots, bruising... more...

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Related Diseases for Purpura Fulminans

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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 186)
# Related Disease Score Top Affiliating Genes
1 protein c deficiency 30.9 F2 PROC SERPINC1
2 purpura 30.8 F2 F3 PROC PROCR PROS1 SERPINC1
3 meningococcemia 30.4 PROC PROCR SERPINC1
4 protein s deficiency 30.3 F2 F3 PROS1 SERPINC1
5 disseminated intravascular coagulation 30.2 F2 F3 SERPINC1 SERPINF2
6 endocarditis 30.0 F2 SERPINC1
7 factor vii deficiency 29.9 F2 F3
8 antiphospholipid syndrome 29.9 F2 F3 SERPINC1
9 dengue hemorrhagic fever 29.9 F2 F3
10 osteonecrosis 29.8 F2 SERPINC1
11 hemorrhagic fever 29.7 F2 F3 SERPINC1
12 thrombophilia 28.8 F2 F3 PROC PROCR PROS1 SERPINC1
13 thrombosis 28.8 F2 F3 PROC PROCR PROS1 SERPINC1
14 acquired purpura fulminans 12.5
15 thrombophilia due to protein c deficiency, autosomal recessive 11.5
16 thrombophilia due to protein s deficiency, autosomal recessive 11.5
17 chickenpox 10.4
18 meningitis 10.4
19 malaria 10.3
20 scarlet fever 10.2
21 lupus erythematosus 10.1
22 fasciitis 10.1
23 necrotizing fasciitis 10.1
24 haemophilus influenzae 10.1
25 vitamin k deficiency hemorrhagic disease 10.1 F2 PROS1
26 catastrophic antiphospholipid syndrome 10.1 F3 PROC
27 afibrinogenemia 10.1 F2 F3
28 hemophilia 10.1 F2 F3
29 cerebral falx meningioma 10.1 F2 F3
30 prothrombin deficiency 10.1 F2 F3
31 qualitative platelet defect 10.1 F2 F3
32 femoral neuropathy 10.1 F2 F3
33 alcohol-related birth defect 10.1 F2 F3
34 hantavirus pulmonary syndrome 10.1 F2 F3
35 von willebrand disease, type 1 10.1 F2 F3
36 anterior cranial fossa meningioma 10.1 F2 F3
37 vascular hemostatic disease 10.1 F2 F3
38 splenic disease 10.1 F2 F3
39 retinal artery occlusion 10.1 F2 SERPINC1
40 endocardium disease 10.1 F2 F3
41 spinal cord infarction 10.1 F2 SERPINC1
42 analbuminemia 10.1 F2 F3
43 shwartzman phenomenon 10.1
44 prothrombin deficiency, congenital 10.1 F2 SERPINC1
45 squamous cell papilloma 10.1 F2 F3
46 ischemic colitis 10.1 F2 SERPINC1
47 factor xiii deficiency 10.1 F3 SERPINF2
48 subendocardial myocardial infarction 10.1 F2 SERPINC1
49 sneddon syndrome 10.1 F2 SERPINC1
50 systemic lupus erythematosus 10.1

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



Diseases related to Purpura Fulminans
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Symptoms & Phenotypes for Purpura Fulminans

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MGI Mouse Phenotypes related to Purpura Fulminans:

46
# Description MGI Source Accession Score Top Affiliating Genes
1 cardiovascular system MP:0005385 9.73 F2 F3 PROC PROCR PROS1 SERPINC1
2 embryo MP:0005380 9.55 F2 F3 PROCR PROS1 SERPINC1
3 hematopoietic system MP:0005397 9.43 F2 F3 PROC PROCR PROS1 SERPINC1
4 homeostasis/metabolism MP:0005376 9.17 F2 F3 PROC PROCR PROS1 SERPINC1
Sources

Drugs & Therapeutics for Purpura Fulminans

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

(show all 24)
# Name Status Phase Clinical Trials Cas Number PubChem Id
1
Protein C Approved Phase 2, Phase 3
2
Povidone-iodine Approved Phase 3 25655-41-8
3
Povidone Approved Phase 3 9003-39-8
4
Iodine Approved, Investigational Phase 3 7553-56-2 807
5
Chlorhexidine Approved, Vet_approved Phase 3 55-56-1 2713 9552079
6 Anticoagulants Phase 2, Phase 3
7 Fibrinolytic Agents Phase 2, Phase 3
8 cadexomer iodine Phase 3
9 Disinfectants Phase 3
10 Micronutrients Phase 3
11 Chlorhexidine gluconate Phase 3
12 Trace Elements Phase 3
13 Pharmaceutical Solutions Phase 3
14 Anti-Infective Agents Phase 3
15 Anti-Infective Agents, Local Phase 3
16 Blood Substitutes Phase 3
17 Dermatologic Agents Phase 3
18 Plasma Substitutes Phase 3
19
Hydrocortisone acetate Approved, Vet_approved Phase 2 50-03-3
20
Hydrocortisone Approved, Vet_approved Phase 2 50-23-7 5754
21 Hydrocortisone 17-butyrate 21-propionate Phase 2
22 Hydrocortisone-17-butyrate Phase 2
23 Anti-Inflammatory Agents Phase 2
24 Cortisol succinate Phase 2

Interventional clinical trials:


# Name Status NCT ID Phase Drugs
1 Efficacy and Safety Study of Protein C Concentrate in Subjects With Severe Congenital Protein C Deficiency Completed NCT00157118 Phase 2, Phase 3 Protein C Concentrate (Human) Vapor Heated
2 Study of Chlorhexidine Gluconate as a Preoperative Antisepsis Completed NCT01495117 Phase 3 Povidone-Iodine;Chlorhexidine gluconate
3 Evaluation of Corticosteroid Therapy in Childhood Severe Sepsis - a Randomised Pilot Study Completed NCT00732277 Phase 2 hydrocortisone
4 Outcomes of Purpura FULminans in Adults - The hOPeFUL Study 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

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Genetic Tests for Purpura Fulminans

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Anatomical Context for Purpura Fulminans

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MalaCards organs/tissues related to Purpura Fulminans:

41
Skin, Brain, Bone, Liver, Heart, T Cells, Bone Marrow
Sources

Publications for Purpura Fulminans

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Articles related to Purpura Fulminans:

(show top 50) (show all 482)
# Title Authors Year
1
Acquired Versus Congenital Neonatal Purpura Fulminans: A Case Report and Literature Review. ( 29683961 )
2018
2
Purpura fulminans causing acute cortical necrosis in postpartum period. ( 29593006 )
2018
3
An ADAM-10 dependent EPCR shedding links meningococcal interaction with endothelial cells to purpura fulminans. ( 29630665 )
2018
4
A novel compound heterozygous mutations in protein C gene causing neonatal purpura fulminans. ( 29356699 )
2018
5
Two Cases of Israeli Spotted Fever with Purpura Fulminans, Sharon District, Israel. ( 29664383 )
2018
6
Rare presentation of rickettsial infection as purpura fulminans: a case report. ( 29801512 )
2018
7
Acute Kidney Injury in a Case of Purpura Fulminans Developing Secondary to Antithrombin 3 Deficiency. ( 29540648 )
2018
8
Acute infectious purpura fulminans secondary to a dog bite. ( 29437318 )
2018
9
Neonatal Purpura Fulminans, a rare genetic disorder due to protein C deficiency: A case report. ( 29540887 )
2018
10
Therapeutic response to glucocorticoids, anticoagulation and plasma exchange in a patient with primary antiphospholipid syndrome presenting with purpura fulminans. ( 30290709 )
2018
11
Purpura fulminans-like lesions in antiphospholipid syndrome with endothelial C3 deposition. ( 30364713 )
2018
12
Purpura fulminans with Lemierre's syndrome caused by Gemella bergeri and Eikenella corrodens: a case report. ( 30340466 )
2018
13
Purpura Fulminans and Septic Shock due to Capnocytophaga Canimorsus after Dog Bite: A Case Report and Review of the Literature. ( 30225149 )
2018
14
Long-term quality of life in adult patients surviving purpura fulminans: an exposed-unexposed multicenter cohort study. ( 30335142 )
2018
15
A Genetic Origin? Purpura Fulminans. ( 30367859 )
2018
16
Persistence of endothelial thrombomodulin in a patient with infectious purpura fulminans treated with protein C concentrate. ( 30396911 )
2018
17
Purpura fulminans - It's Not Always Sepsis. ( 29381878 )
2018
18
Streptococcus pyogenes-purpura fulminans as an invasive form of group A streptococcal infection. ( 29986727 )
2018
19
Clinical spectrum and short-term outcome of adult patients with purpura fulminans: a French multicenter retrospective cohort study. ( 30128591 )
2018
20
Unusual purpura fulminans after heart transplantation. ( 30191293 )
2018
21
Renal histological findings in a patient with acute renal injury associated with purpura fulminans: a case report. ( 30222177 )
2018
22
Penile necrosis secondary to purpura fulminans: a case report and review of literature. ( 28479975 )
2017
23
Pathogenesis of meningococcal purpura fulminans. ( 28334263 )
2017
24
Purpura fulminans in congenital protein C deficiency successfully treated with fresh frozen plasma and thrombomodulin. ( 29265490 )
2017
25
Purpura Fulminans: A rare presentation of<i>Streptococcus Pneumoniae</i>infection. ( 29054893 )
2017
26
Mutilating Purpura Fulminans in an Adult with Meningococcal Sepsis. ( 28915308 )
2017
27
Purpura Fulminans: Mechanism and Management of Dysregulated Hemostasis. ( 29157918 )
2017
28
Skin biopsy polymerase chain reaction for rapid microbiological diagnosis in patients with purpura fulminans. ( 28369801 )
2017
29
Evolution of Purpura Fulminans. ( 28564574 )
2017
30
Purpura fulminans due to pneumococcal infection. ( 29264090 )
2017
31
Purpura fulminans mimicking toxic epidermal necrolysis - additional value of 16S rRNA sequencing and skin biopsy. ( 28522775 )
2017
32
Purpura Fulminans as the presenting manifestation in a patient with homozygous methylenetetrahydrofolate reductase gene mutation. ( 28612584 )
2017
33
Reconstruction of Near-Total Loss of the Upper and Lower Lips due to Purpura Fulminans with Local Tissue and a Dual-Skin Paddled Anterolateral Thigh Flap. ( 29062669 )
2017
34
Purpura Fulminans in Acute Meningococcemia. ( 28236134 )
2017
35
Purpura Fulminans Associated with Overwhelming Postsplenectomy Infection. ( 28090064 )
2017
36
A novel compound heterozygous form of severe protein C deficiency causing bleeding without purpura fulminans. ( 28485122 )
2017
37
Protein C Deficiency Caused by a Novel Mutation in the<i>PROC</i>Gene in an Infant with Delayed Onset Purpura Fulminans. ( 29082047 )
2017
38
Neisseria meningitidis and purpura fulminans in a woman with chronic liver disease. ( 28346185 )
2017
39
Indian Tick Typhus Presenting as Purpura Fulminans with Review on Rickettsial Infections. ( 28216718 )
2017
40
Homozygous protein C deficiency presenting as neonatal purpura fulminans: management with fresh frozen plasma, low molecular weight heparin and protein C concentrate. ( 29270858 )
2017
41
Myocarditis and purpura fulminans in meningococcaemia. ( 29024990 )
2017
42
Challenging Airway Secondary to Purpura Fulminans With Face and Neck Bullae in a Premature Infant: A Case Report. ( 28195860 )
2017
43
Delayed Surgical Debridement and Use of Semiocclusive Dressings for Salvage of Fingers After Purpura Fulminans. ( 28149224 )
2016
44
Successful Corticosteroid Treatment for Purpura Fulminans Associated with Quinolone. ( 27746448 )
2016
45
Efficacy and safety of protein C concentrate to treat purpura fulminans and thromboembolic events in severe congenital protein C deficiency. ( 27052576 )
2016
46
Purpura fulminans secondary to rickettsial infections: A case series. ( 26955583 )
2016
47
Streptococcus pneumoniae-induced purpura fulminans. ( 27083982 )
2016
48
Purpura fulminans related to paroxysmal nocturnal haemoglobinuria. ( 27046923 )
2016
49
Pneumococcal Sepsis Complicated by Splenic Abscesses and Purpura Fulminans in a 15-Month-Old Child: Case Report and Review of the Literature. ( 27006958 )
2016
50
Acute infectious purpura fulminans caused by group A I^-hemolytic Streptococcus: An uncommon organism. ( 27057503 )
2016
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Variations for Purpura Fulminans

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Expression for Purpura Fulminans

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Search GEO for disease gene expression data for Purpura Fulminans.
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Pathways for Purpura Fulminans

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

# Super pathways Score Top Affiliating Genes
1
Response to elevated platelet cytosolic Ca2+ 66
Show member pathways
 12.78 F2 F3 PROC PROCR PROS1 SERPINC1
2
Collagen chain trimerization 66
Show member pathways
 12.44 F2 F3 PROC PROS1 SERPINC1
3
Cell surface interactions at the vascular wall 66
Show member pathways
 11.92 F2 PROC PROCR PROS1
4
Formation of Fibrin Clot (Clotting Cascade) 66
Show member pathways
 11.7 F2 F3 PROC PROCR PROS1 SERPINC1
5
Gamma carboxylation, hypusine formation and arylsulfatase activation 66
Show member pathways
 11.61 F2 PROC PROS1
6
Complement and coagulation cascades 1 37
11.31 F2 F3 PROC PROCR PROS1 SERPINC1
7
Warfarin Pathway, Pharmacodynamics 61
10.61 F2 PROC PROS1
Sources

GO Terms for Purpura Fulminans

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

# Name GO ID Score Top Affiliating Genes
1 extracellular exosome GO:0070062 9.8 F2 PROCR PROS1 SERPINC1 SERPINF2
2 extracellular region GO:0005576 9.7 F2 F3 PROC PROCR PROS1 SERPINC1
3 endoplasmic reticulum lumen GO:0005788 9.54 F2 PROC SERPINC1
4 collagen-containing extracellular matrix GO:0062023 9.5 F3 SERPINC1 SERPINF2
5 platelet alpha granule lumen GO:0031093 9.43 PROS1 SERPINF2
6 Golgi lumen GO:0005796 9.43 F2 PROC PROS1
7 blood microparticle GO:0072562 9.26 F2 PROS1 SERPINC1 SERPINF2
8 extracellular space GO:0005615 9.17 F2 F3 PROC PROCR PROS1 SERPINC1

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

(show all 12)
# Name GO ID Score Top Affiliating Genes
1 cellular protein metabolic process GO:0044267 9.67 F2 PROC SERPINC1
2 ER to Golgi vesicle-mediated transport GO:0006888 9.63 F2 PROC PROS1
3 negative regulation of endopeptidase activity GO:0010951 9.58 PROS1 SERPINC1 SERPINF2
4 acute-phase response GO:0006953 9.51 F2 SERPINF2
5 positive regulation of collagen biosynthetic process GO:0032967 9.48 F2 SERPINF2
6 negative regulation of blood coagulation GO:0030195 9.43 PROC PROS1
7 blood coagulation GO:0007596 9.43 F2 F3 PROC PROCR PROS1 SERPINC1
8 regulation of blood coagulation GO:0030193 9.37 F2 SERPINC1
9 fibrinolysis GO:0042730 9.33 F2 PROS1 SERPINF2
10 negative regulation of fibrinolysis GO:0051918 9.32 F2 SERPINF2
11 negative regulation of coagulation GO:0050819 9.26 PROC PROCR
12 hemostasis GO:0007599 9.1 F2 F3 PROC PROCR PROS1 SERPINC1

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

# Name GO ID Score Top Affiliating Genes
1 endopeptidase inhibitor activity GO:0004866 9.16 PROS1 SERPINF2
2 serine-type endopeptidase activity GO:0004252 9.13 F2 F3 PROC
3 protease binding GO:0002020 8.8 F3 SERPINC1 SERPINF2
Sources

Sources for Purpura Fulminans

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3 CDC
7 CNVD
9 Cosmic
10 dbSNP
11 DGIdb
17 ExPASy
19 FMA
28 GO
29 GTR
30 HGMD
31 HMDB
32 HPO
33 ICD10
34 ICD10 via Orphanet
35 ICD9CM
36 IUPHAR
37 KEGG
38 LifeMap
40 LOVD
42 MedGen
44 MeSH
45 MESH via Orphanet
46 MGI
49 NCI
50 NCIt
51 NDF-RT
54 NINDS
55 Novoseek
57 OMIM
58 OMIM via Orphanet
62 PubMed
64 QIAGEN
69 SNOMED-CT via HPO
70 SNOMED-CT via Orphanet
71 TGDB
72 Tocris
73 UMLS
74 UMLS via Orphanet
The MalaCards human disease database index: 1-9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
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