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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vomiting And Purple Spots Around Eyelids And Chin?

My 4 year old daughter's teacher called me and asked that I pick up my daughter at school because she had thrown up on excess and was pale... Definitely not feeling well. Once I picked her up, I noticed purple spots around her eyelids and chin. Should I take her to the hospital? What causes this?
Mon, 22 Jun 2015
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Pediatrician,  's  Response
Hi
Welcome to the HCM

The purple spots near eyes and chin may be due to petechiae or allergic reaction.
Petechiae do not blanch on pressure and can develop due to rupture of minute blood capillaries in subcutaneous tissue. It might have occurred in your daughter due to pressure from several vomiting episodes she had.
I would recommend you to take her for a proper clinical examination is you feel that the spots are increasing or there is any frank bleeding from any site. It may occur in some children with bleeding disorders.
In case the spots are blanching on pressure, the cause could be allergic reaction. You may give her Syp. Chlorpheniramine in that case.

Hopefully this will help you. For further questions, you may contact me.
Take care
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What Causes Vomiting And Purple Spots Around Eyelids And Chin?

Hi Welcome to the HCM The purple spots near eyes and chin may be due to petechiae or allergic reaction. Petechiae do not blanch on pressure and can develop due to rupture of minute blood capillaries in subcutaneous tissue. It might have occurred in your daughter due to pressure from several vomiting episodes she had. I would recommend you to take her for a proper clinical examination is you feel that the spots are increasing or there is any frank bleeding from any site. It may occur in some children with bleeding disorders. In case the spots are blanching on pressure, the cause could be allergic reaction. You may give her Syp. Chlorpheniramine in that case. Hopefully this will help you. For further questions, you may contact me. Take care