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contentuptodate· Content· item f30_28_31168

©2013 UpToDate ® Print Email Purpura fulminans Skin lesions in acute meningococcemia can begin as papules but quickly progress to petechiae and purpura. As seen here, the purpuric lesions can coalesce. Courtesy of Charles V Sanders. (The Skin and Infection: A Color Atlas and Text, Sanders, CV, Nesbitt, LT Jr (Eds), Williams & Wilkins, Baltimore, 1995).