Purpura Pigmentosa Quiz

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Yukiko Ueda, MD (Dermatology)

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Learn more about Purpura pigmentosa

Content updated on Nov 2, 2022

What is purpura pigmentosa?

Purpura Pigmentosa Progressiva is also known as Progressive Pigmentary Dermatitis or Schamberg's Disease. It is a chronic skin condition causing discoloration of the dermis of the trunk, upper and lowerlimbs. The exact cause is unknown but it is caused by inflammition of tiny blood vessels called capilaries.

Symptoms of purpura pigmentosa

  • Black/blue/brown spots or moles, on the skin and lining of the mouth

  • Purple rash

  • Red spots on the skin

Questions your doctor may ask to check for purpura pigmentosa

Your doctor may ask these questions to diagnose purpura pigmentosa

  • Are there black, blue, or brown spots on the skin or elsewhere? (Including moles)

  • Do you have purple spots on your skin?

  • Do you have small red dots which look like bleeding under the skin?

Treatment for purpura pigmentosa

While treatment may not be necessary, creams/ ointments to reduce inflammation may help control itching. Other options include compression stockings, oral medications, and phototherapy.

View the symptoms of Purpura pigmentosa


  • Okada K, Ishikawa O, Miyachi Y. Purpura pigmentosa chronica successfully treated with oral cyclosporin A. Br J Dermatol. 1996 Jan;134(1):180-1. doi: 10.1111/j.1365-2133.1996.tb07865.x. PMID: 8745912.


  • von den Driesch P, Simon M Jr. Cellular adhesion antigen modulation in purpura pigmentosa chronica. J Am Acad Dermatol. 1994 Feb;30(2 Pt 1):193-200. doi: 10.1016/s0190-9622(94)70016-8. PMID: 7507134.


Reviewed By:

Yukiko Ueda

Yukiko Ueda, MD (Dermatology)

From our team of 50+ doctors

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