惡液質性紫斑均發生于極度营养不良之患儿,其特征为大多数于腹部及下肢出現大塊之皮下出血,但血小板正常,Wintrobe氏將紫斑分为血小板減少性及血小板正常性兩类。因此惡液質性紫斑应屬于血小板正常性紫斑。此类紫斑在臨床上并不少見,國內文献对此类紫斑之病例报告,却尚未看到。作者特將此类紫斑提出討論并附四个病例报告,以供参考。 Emaciated purpura occurs in children with extreme malnutrition and is characterized by a large majority of subcutaneous hemorrhages in the abdomen and lower extremities, but with normal platelets, Wintrobe divides purpura into two groups, thrombocytopenia and platelet normality . Therefore, evil should belong to normal purple platelet purpura. Such purpura is not uncommon in clinical practice, the domestic literature on such cases of purple spots reported, but have not yet seen. The author of this type of purple spots proposed to discuss with four case reports, for reference.