Özet:

Actinic purpura is a dermatological disorder that is seen frequently in elderly as benign ecchymotic plaques with various sizes and localizations. A 92-year-old woman was consulted for purple lesions in the body while she was being treated in intensive care unit (ICU). The lesions were intermittent and improved spontaneously for three years. She had left-sided hemiplegia sequel, asthma and newly developed right sided hemiplegia. Dermatological examination revealed ecchymotic plaques with 3-10 cm diameter in forehead, eyelids, neck, chest and distal upper extremities. Histopathological examination of a lesional biopsy revealed epidermal atrophy, widespread solar elastosis in the dermis and focal hemorrhagic areas. The impairment of general condition of the patient continued and the patient lost his life as a result of complications at the 12th day of ICU. Widespread actinic purpura that is misdiagnosed as physical assault can be seen infrequently at the admission to ICU. The presence of actinic purpura is accepted as a poor prognostic sign in the hospitalized patients.

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