Hoʻike pinepine ʻia nā ʻano purpura like ʻole he purpura ʻili a i ʻole ecchymosis, kahi mea maʻalahi ke huikau a hiki ke hoʻokaʻawale ʻia ma muli o nā hōʻike ma lalo nei.
1. ʻO ka purpura thrombocytopenic idiopathic
He ʻano makahiki a me ke kāne kēia maʻi, a ʻoi aku ka maʻamau i nā wahine 15-50 makahiki.
Hōʻike ʻia ke kahe koko ma lalo o ka ʻili ma ke ʻano he purpura ʻili a me ka ecchymosis, me kahi ʻano maʻamau i ka hoʻolaha ʻana, i loaʻa pinepine ʻia ma nā lālā haʻahaʻa a me nā lālā luna distal. He ʻokoʻa kēia mau ʻano mai nā ʻano ʻē aʻe o ke kahe koko ma lalo o ka ʻili. Eia kekahi, hiki i kēia ʻano purpura ke loaʻa ke kahe koko ihu, ke kahe koko gingival, ke kahe koko retinal, a pēlā aku, pinepine ʻia me ke poʻo, ka melemele o ka ʻili a me ka sclera, proteinuria, hematuria, ke kuni, a pēlā aku.
Hōʻike nā hoʻokolohua koko i nā ʻano like ʻole o ka anemia, ka helu platelet ma lalo o 20X10 μ/L, a me ka manawa kahe koko lōʻihi i ka wā o nā hoʻokolohua coagulation.

2. ʻO ka purpura maʻi āpau
ʻO ka hōʻike ʻano o ka maʻi, ʻo ia ka loaʻa pinepine ʻana o nā mea hoʻoulu ma mua o ka hoʻomaka ʻana, e like me ke kuni, ka ʻeha o ka puʻu, ka luhi a i ʻole ka mōʻaukala o ka maʻi ʻōpū hanu luna. ʻO ke kahe koko ma lalo o ka ʻili he purpura ʻili lālā maʻamau, ka mea i ʻike nui ʻia i nā ʻōpio. ʻOi aku ka nui o ka hanana o nā kāne ma mua o nā wahine, a hana pinepine ia i ka pūnāwai a me ka hāʻule.
ʻOkoʻa ka nui o nā ʻōpala poni a ʻaʻole e mae. Hiki iā lākou ke hui pū i loko o nā ʻāpana a nalowale mālie i loko o 7-14 mau lā. Hiki ke hele pū me ka ʻeha o ka ʻōpū, ka pehu ʻana o nā hono a me ka ʻeha, a me ka hematuria, e like me nā hōʻike maʻi ʻē aʻe e like me ka edema vascular a me ke aʻalolo, urticaria, a pēlā aku. He maʻalahi ke hoʻokaʻawale mai nā ʻano ʻē aʻe o ke kahe koko subcutaneous. He mea maʻamau ka helu platelet, ka hana, a me nā hoʻokolohua e pili ana i ka coagulation.

3. Purpura simplex
ʻO Purpura, i ʻike ʻia hoʻi he wahine i hiki ke loaʻa i ka maʻi ecchymosis, ua ʻike ʻia ʻo ia he mea maʻamau i nā wahine ʻōpio. ʻO ke ʻano o ka purpura e pili pinepine ana i ka pōʻaiapuni menstrual, a i hui pū ʻia me ka mōʻaukala o ka maʻi, ua maʻalahi ke hoʻokaʻawale iā ia mai nā hemorrhage subcutaneous ʻē aʻe.
ʻAʻohe hōʻailona ʻē aʻe o ka mea maʻi, a hōʻike koke ka ʻili me nā ecchymosis liʻiliʻi a me nā nui like ʻole o ka ecchymosis a me ka purpura, he mea maʻamau ia ma nā lālā haʻahaʻa a me nā lima a hiki ke hoʻopau iā lākou iho me ka ʻole o ka mālama ʻana. I kekahi mau maʻi, hiki ke maikaʻi ka hoʻāʻo ʻana o ka pūʻolo lima.