Etiology • Viral infection (Epstein-Barr virus [EBV]-mononucleosis;
measles), rickettsial infection • Thrombocytopenia, leukemia • Disseminated intravascular coagulation (DIC) • Trauma: prolonged coughing, frequent vomiting, giving birth,
fellatio, violent Valsalva maneuvers
Clinical Presentation • Pinpoint hemorrhage into mucosa/submucosa • Asymptomatic • Usually involves the soft palate • No blanching on pressure (diascopy)
Diagnosis • Clinical features • History, determination of underlying cause
measles), rickettsial infection • Thrombocytopenia, leukemia • Disseminated intravascular coagulation (DIC) • Trauma: prolonged coughing, frequent vomiting, giving birth,
fellatio, violent Valsalva maneuvers
Clinical Presentation • Pinpoint hemorrhage into mucosa/submucosa • Asymptomatic • Usually involves the soft palate • No blanching on pressure (diascopy)
Diagnosis • Clinical features • History, determination of underlying cause
Differential Diagnosis • See “Etiology”
Treatment • None; observation only
Prognosis • Variable, depending upon etiology