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Periorbital purpura (raccoon's eyes)
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  1. Vera Gomes Pereira1,
  2. Margarida Jacinto1,
  3. Jaime Santos2,
  4. Tiago Tribolet de Abreu1
  1. 1Department of Internal Medicine, Hospital Espírito Santo-Évora, E.P.E., Évora, Portugal
  2. 2Department of Oncology, Hospital Espírito Santo-Évora, E.P.E., Évora, Portugal
  1. Correspondence to Dr Vera Gomes Pereira, vera.mgp{at}gmail.com

https://doi.org/10.1136/bcr-2013-201407

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    Description

    We report a case of a 62-year-old female patient with a 3-year history of non-traumatic palpebral and periorbital purpura (figure 1) and episodes of syncope. She had no other alteration on clinical examination.

    Figure 1

    Palpebral and periorbital purpura.

    The laboratory study showed a complete blood count, serum electrolytes, renal function, coagulation and bilirubin within normal limits, alkaline phosphatase 171 IU/L (normal range 45–116), γ-glutamyltransferase 192 IU/L (12–43), alanine aminotransferase 50 IU/L (9–52) and aspartate aminotransferase 41 IU/L (14–36).

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