This disease is seen most commonly in adults from 20 to 50 years old, with women affected slightly more often than men. Purpura refers to the characteristic bleeding that occurs beneath the skin, or in mucous membranes, which produces bruises or a red rash-like appearance. A similar condition in children is hemolytic-uremic syndrome. The disease may be precipitated by the use of estrogen or by pregnancy. It is frequently preceded by a viral infection. It is also associated with HIV infection. The neurological symptoms associated with this disease may vary over several minutes and include headaches, confusion, speech changes, and alterations in consciousness, which vary from lethargy to coma. People may be very ill with this disorder, and kidney abnormalities may develop. The cause is unknown. Risk factors are being between 20 and 50 years old, recent estrogen use or pregnancy, and HIV infection. The incidence is 4 out of 100,000 people.
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