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How is purpura (blood spots) linked to hepatitis C?

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These red or purple blotches can be as small as a pinhead or as big as half an inch. They can hurt or itch. For people with hepatitis C, the rash is usually a symptom of cryoglobulinemia. It’s a blood vessel problem that happens when proteins in your blood stick together in cold weather. The clumps build up in small and medium vessels, which block blood flow. Medication that targets the hep C virus can take care of the problem. If you have lots of purpura or other issues from cryoglobulinemia, your doctor may give you steroid medicine, too.

SOURCES:

CDC: “Hepatitis C FAQs for the Public.”

American Liver Foundation: "HEPC C 123," “Frequently Asked Questions,” Advances in Medications to Treat Hepatitis C.”

American Academy of Dermatology: “Skin can show first signs of some internal diseases,” “Lichen Planus.”

National Institute of Diabetes and Digestive and Kidney Diseases: "Hepatitis C."

The Hepatitis C Support Project: “An Overview of Extrahepatic Manifestations of Hepatitis C,” “Pruritus (Itching),” Raynaud’s Phenomenon.”

US National Library of Medicine: “Jaundice.”

Cleveland Clinic: “Adult Jaundice (Hyperbilirubinemia).”

The Vasculitis Foundation: “Cryoglobulinemia.”

Raynaud’s Association: “Frequently Asked Questions.”

Vascular Health Risk Management : “Advances in the Treatment of Raynaud’s Phenomenon.”

American Porphyria Foundation: “PCT.”

Hepatology International : “Hepatitis C Virus as a Systemic Disease: Reaching Beyond the Liver.”

The New England Journal of Medicine : “Necrolytic Acral Erythema.”

Reviewed by Brunilda Nazario on September 2, 2019

SOURCES:

CDC: “Hepatitis C FAQs for the Public.”

American Liver Foundation: "HEPC C 123," “Frequently Asked Questions,” Advances in Medications to Treat Hepatitis C.”

American Academy of Dermatology: “Skin can show first signs of some internal diseases,” “Lichen Planus.”

National Institute of Diabetes and Digestive and Kidney Diseases: "Hepatitis C."

The Hepatitis C Support Project: “An Overview of Extrahepatic Manifestations of Hepatitis C,” “Pruritus (Itching),” Raynaud’s Phenomenon.”

US National Library of Medicine: “Jaundice.”

Cleveland Clinic: “Adult Jaundice (Hyperbilirubinemia).”

The Vasculitis Foundation: “Cryoglobulinemia.”

Raynaud’s Association: “Frequently Asked Questions.”

Vascular Health Risk Management : “Advances in the Treatment of Raynaud’s Phenomenon.”

American Porphyria Foundation: “PCT.”

Hepatology International : “Hepatitis C Virus as a Systemic Disease: Reaching Beyond the Liver.”

The New England Journal of Medicine : “Necrolytic Acral Erythema.”

Reviewed by Brunilda Nazario on September 2, 2019

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How is Lichen planus linked to hepatitis C?

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