petechiae after tanning

Purpura associated with exposure to sunlight. [CDATA[ Here are home remedies that you can use in restoring your skin appearance: Diet modification is crucial in dealing with petechiae, primarily caused by vitamin K or vitamin C deficiency. Went to grandkids soccerWent to grandkids soccer game today, so first time for me in the sun since Tamoxifen, Turned red and itchy. (February 2021). IThanks for the tip. She thought that using lots of sunscreen -- way more than usual -- would prevent it. Before . . Memory on death by suffocation. Dermabrasion and microdermabrasion. To my knowledge the mechanism is not known. IV. If an infected patient was treated and the handpiece was not fully sterilized afterward, this infection may be transferred to you. Infections and reactions to medications are two common. And if the recommended follow-up sessions are not respected, the procedure effects will be reduced.. The greatest benefit of tanning beds for Eczema is that these facilities are controlled so there is a low risk of overexposure to UV light. For instance, anticoagulants such as warfarin and heparin can cause petechiae. And I wanted spray on because I hate smearing stuff on me.Also, in the "I'll find the good in this cancer cr*p department", our Walgreen's sells Hallmark cards. It is also possible the events described were not related to the vaccine or was another problem triggered by the vaccine. Four to six microdermabrasion sessions are generally required for best results. However, they are neither bumpy nor itchy like most rashes. Physical trauma. Latenser BA, Hempstead RW. The content on this site is for informational purposes only. The common causes of Petechiae are: Lancet 2021;397:2043-6 (https://doi.org/10.1016/S0140-6736(21)01115-6). Negative d-Dimer. JON M. SWEET, MD, AND BENJAMIN H. MULKEY, MD, Carilion Clinic, Roanoke, Virginia. "Petechial Hemorrhage The physical act of exfoliation, or the friction between your skin and the handpiece, increases blood flow in capillaries close to the surface. Observe proper hand hygiene by regularly washing your hands with soap and water or rubbing with an alcohol-based sanitizer. If petechial hemorrhages and facial congestion are present, it is a strong indication of asphyxia by strangulation as the cause of death . Retrieved from. FastMed's services address a wide spectrum of urgent care, family, and sports medicine needs. Yep, I wonderWhen I first started chemo, I walked the dog with only my hands uncovered and got a horrible, itchy, poison ivy-like rash within 15 minutes. Tan, M. H., Spencer, J. M., Pires, L. M., Ajmeri, J., & Skover, G. (2001, November). Hanging is a form of strangulation where a noose is pulled tight around the neck by the person's own body weight. Her sis had died 4 days beforeso there was more crying than usual in the Hallmark aisle that day. LOL! 2019Encyclopedia.com | All rights reserved. Some of the parameters your doctor will measure include blood pressure, heart rate, temperature, and joint motion. When evaluating a patient who presents with new-onset petechial rash following sun exposure, it is important to rule out vasculitis or thrombocytopenia as the cause, which is best achieved through skin biopsy and a platelet count, respectively. Encyclopedia.com. Last reviewed by a Cleveland Clinic medical professional on 06/29/2021. Mild superficial epidermal exfoliation was noted on both anterior thighs. I personally would not favor repeat vaccination with the Pfizer or other COVID19 vaccines, but I think there could be a discussion and repeat vaccination, with the Pfizer or an alternative vaccine. This means staying away from alcohol too! If your skin tone is not restored after healing, your doctor may recommend or prescribe topicals, ointments, creams or other procedures. Like other side effects, bruising should clear up within hours to a day after treatment. Saukko P, Knight B. Petechiae are small, purpuric lesions up to 2mm across. You can also get petechiae from vomiting or straining while lifting weights. Two days later, the spots appeared within the most severely sunburned areas of both legs. To be considered for publication, submissions must meet these guidelines. Signs of petechiae may remain for up to two weeks after treatment. Ecchymoses or bruises are larger extravasations of blood. 1970;67(4):249257. Types of physical trauma that can result in petechiae include: Car accident. Although gentle, microdermabrasion still wounds the skin by removing its surface layer. Petechiae can result from both niacin (vitamin B3) and vitamin C deficiency. Sepsis can also cause end-organ damage, especially to the kidney and liver. As a noninvasive procedure, patients do not need to be sedated or anesthetized before treatment. The treatment for rashes and infections depends on the specific type of infection transferred to you, such as acne. Share on Facebook . Place the gua sha tool at the correct angle. I'm not usually sensitive to the sun and don't usually burn so easily. Every time you visit a doctor, you should inform them about such medications so that they provide alternatives and prevent recurrence of symptoms. After removing duplicate records and, records that did not meet the inclusion criteria, the patients' data of eligible studies,including the basic characteristics, treatment regimens, and outcomes were extracted, for further analysis. Petechiae are tiny red spots, usually less than 2 mm, that form on the skin and membranes lining body surfaces like the mouth and eyes. 8600 Rockville Pike One week prior to presentation she had a severe sunburn affecting most of the body, which resolved without blistering. Refer to each styles convention regarding the best way to format page numbers and retrieval dates. She said the hat would look perfect with my red cowboy boots (which another friend had given me to kick cancer's butt). Petechiae worsened over the next several days and she developed left lower leg swelling, paresthesia in left lower leg, and dizziness, and the patient went to ER. Available from: Rosso, J. D., Zeichner, J., Alexis, A., Cohen, D., & Berson, D. (2016). government site. The kids bottle had a free 33% more in it! The evaluation of aluminum oxide crystal microdermabrasion for photodamage. However, some underlying conditions such as invasive meningococcal disease are regarded as medical emergencies requiring immediate attention. and my first post. adjective. Identify the 4 stages of wound healing and factors that affect it. Drinking alcohol also affects the nutrient balance in your body. 2017 Jun;13(2):115-122. doi: 10.1007/s12024-017-9860-y. noticed 2-3 weeks ago that my skin was itchy & after scratching petechiae appeared. American Society of Hematology 2019 guidelines for immune thrombocytopenia. 1988;9(1):3234. Before the procedure, the treatment area will be cleansed to remove any debris or dirt from the surface. A punch biopsy of the anterior aspect of the left thigh was performed to rule out vasculitis. Had sunscreen on, did not really burn just got red and itchy. The only reason I was told to use lots of sunscsreen was due to radiation. Accidental and non-accidental Injuries can cause bleeding, which can lead to petechiae. Waters AJ, Sandhu DR, Green CM, et al. While common, petechiae is only a minor cosmetic concern that can often be concealed using makeup after your skin begins to heal roughly 24 hours after your procedure. There was no significant difference in the frequency of petechiae between the feet touching the ground and complete suspension, and they were therefore considered as one group (complete suspensions). Signup for our newsletter to get notified about our next ride. Evaluation: Petechiae can be caused by benign causes as well as serious causes. Considerations. Reporting mother has autoimmune disorder, but unknown what kind. by. Clean counter-tops and other high-touch surfaces like door handles regularly. A collection of Photo Quiz published in AFP is available at https://www.aafp.org/afp/photoquiz. Physical examination revealed a nontender, symmetrical, petechial, and purpuric rash from the soles of the feet to the lower abdomen (Figures 1 and 2). on it. Skin biopsy can confirm the diagnosis. Z Rechtsmed. Petechiae: Pinpoint (1 - 2 mm) red or purple non-blanching spots on the body. After only one minute of inversion, the resultant ocular findings included orbital Adhering to proper aftercare, including frequent moisturization and protection from sun exposure, will minimize the effects of the skins photosensitivity and dryness. Most people respond to treatment with intravenous . Petechiae are small, pinpoint-sized red dots on the surface of the skin. Sunburn. 1829;31(99):229250. This series is coordinated by John E. Delzell Jr., MD, MSPH, associate medical editor. petechial. Saving You Time. Should there be any further workup for petechiae? In recent years, dermatologists and microdermabrasion providers have begun phasing out crystal-based microdermabrasion systems in favor of diamond-tipped handpieces. Here are the conditions that might be responsible for your skin lesions: The investigations for the diagnosis of petechiae are as varied as the causes themselves. If you have a rash from a tanning bed, you'll recognize it from some common symptoms. After day two I had a raised, itchy, bubbly poison ivy type rash all over! Because the epidermis isnt compromised, there are no long-term complications arising from this procedure. Derm diagnosed it as Ask an Expert Medical Questions Ask a Dermatologist Dr. S. Attili is online now Related Dermatology Questions I have recently noticed 2 very small white, indented spots His physical examination was otherwise unremarkable, including normal vital signs. Torinuki W, Miura T. Erythropoietic protoporphyria showing solar purpura. 2018 Sep;290:70-84. doi: 10.1016/j.forsciint.2018.05.043. Petechiae are not a disease, but a symptom of something else. VIEWS. is candy a common or proper noun; Tags . I would be concerned that repeat vaccination could result in an accelerated and more severe reaction. Petechiae are small, 4 mm in diameter, non-blanching purpuric macules that can appear on the skin, conjunctiva, retina, and mucous membranes. If the trigger for the petechiae is obvious, for instance, in the case of prolonged straining, complex procedures such as bone marrow biopsy are not necessary. Figure 2. Review our cookies information for more details. 24 hours after the first Pfizer COVID-19 vaccine, the patient developed petechiae on the left lower leg. Aside from the common bruise, bleeding into the skin or mucous membranes is a very significant sign and should always be checked out by a health care provider. These spots are non-blanching as they do not disappear on applying pressure. petechiae after tanning. Risks for side effects are increased if the procedure is performed too frequently, explains Dr. Downie. Likewise, your propensity for broken capillaries may increase in the hours and days following microdermabrasion. The forensic pathologist will also look out for petechiae in cases of sexual assault. After a microdermabrasion session, your doctor or esthetician will apply a moisturizer to the treated area. When these blood vessels break, blood leaks into your skin. Petechiae in hanging: a retrospective study of contributing variables. I feel like I've been there, done that and totally have the scars to prove it! A diet rich in vitamin K such as green leafy vegetables and vitamin C supplements can help prevent petechial hemorrhages. Microscopic examination revealed reactive epidermal changes with mild vascular ectasia and erythrocyte extravasation not associated with appreciable inflammation or evidence of vascular injury (Figure 2). Itchy as heck and I had to get a special medication to alleviate the symptoms. As the capillaries dilate, they become visible through the skin, causing skin redness, or erythema. The patient also had muscle aches, mild abdominal discomfort, and a recent sore throat. World of Forensic Science. Urbina F, Barrios M, Sudy E. Photolocalized purpura during ciprofloxacin therapy. (December 2019). IgA vasculitis is often preceded by an infection, such as an upper respiratory tract infection. As ever, the pathologist must be aware of all the circumstances surrounding the death when interpreting these findings. Hallmark now has a line of breast cancer stuffthey have an olive green baseball cap that says "One Tough Chick!" A thorough physical examination helps to localize the lesions and rule out other indicators of life-threatening illness by checking the ears, throat, lungs, and heart. Markers of inflammation like CRP and procalcitonin can also be useful. Planning to head to Florida myself when treatments are done, so I at least am glad to hear it is still the "Sunshine State,". Redness of the skin (erythema) should not be mistaken for bleeding. This treatment can address the same skin conditions as microdermabrasion, but is considered even more gentle. window.__mirage2 = {petok:"gPj5ZRv03IWyWNfF_YfJnnX7VcPaA5ilIxZv6XUUZBI-86400-0"}; A reanalysis of a study of real-world vaccination outcomes from Israel." I'll find the good in this!This is my first visit here (wish I would have come much sooner!) The site is secure. Petechial skin changes acutely following intense sun exposure is a rare phenomenon referred to as sunburn purpura, photolocalized purpura, or solar purpura. Home / Eye Conditions & Diseases / Petechiae. 6/24/2021 34 year-old female with no significant past medical history who presented for the evaluation of petechiae rash from Pfizer COVID-19 vaccine. The bottle I got was labeled for kids, but I compared it to the exact product for adults, and all the ingredients and amounts were the same. Sepsis resulting from the spread of bacterial infections to different organs. Pick a style below, and copy the text for your bibliography. Both are the result of extravasation of blood from capillaries. Petechiae are quite tiny (less than 3 millimeters in diameter) and do not blanch when . Petechiae and purpura are common when the platelet count is severely low, whereas systemic symptoms, such as arthralgias or abdominal discomfort, are not present. 2. 1855;2:371382. Avoid direct sunlight for 2448 hours after microdermabrasion because of the skins increased sensitivity to the suns harmful UV radiation. In the early stages, continued exposure of the skin to UV light causes symptoms such as: Pigmentation including sun tanning freckling and spots. 32M Hi all, immediately after a viral infection back in October (apparently it wasn't Covid), I came down with a rash that my dermatologist said was pityriasis rosea. United States Department of Health and Human Services (DHHS), Public Health Service (PHS), Centers for Disease Control (CDC) / Food and Drug Administration (FDA), Vaccine Adverse Event Reporting System (VAERS) 1990 - 06/18/2021, CDC WONDER On-line Database. In: Saukko P, Knight B, eds. IgG anti-spike COVID-19 assay was ordered and pending. Microdermabrasion is a cosmetic treatment with an excellent safety profile for people of all skin types and colors. They are called petechaie. Petechiae are red because they contain red blood that has leaked from the capillaries into the skin. Clinical Practice Guidelines-Petechiae and Purpura. The remainder of the physical examination was unremarkable. First, your doctor will take a comprehensive medical history to identify the possible risk factors and other associated symptoms that point to particular aetiologies.A thorough physical examination helps to localize the lesions and rule out other indicators of life-threatening illness by . For one day after treatment, avoid using any harsh skin care products, such as chemical peels, and topical acne products. In addition to the MLA, Chicago, and APA styles, your school, university, publication, or institution may have its own requirements for citations. It occurs due to intradermal (between epidermis and hypodermis) capillary bleeding. Microdermabrasion is safe for individuals of all skin types and tones, including those with dark skin. Lesions of macular purpura are larger than petechiae but smaller than ecchymoses. Photolocalized purpura during levofloxacin therapy. Following investigations, your doctor might identify a specific cause of the petechiae and recommend the appropriate therapy, which can be: While the petechial lesions usually heal without scarring, the underlying conditions can result in complications if not treated appropriately. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. Suicide patterns in children and adolescents: a review from a pediatric institution in England. Did not endorse cough, hives, lip swelling, tongue swelling, throat closing, shortness of breath, wheeze, vomiting or abdominal pain. Normal basic metabolic panel, normal hepatic function panel. Platelets usually function to stick together to stop bleeding in damaged blood vessels. Various issues can cause these tiny spots to appear. Despite being an ablative cosmetic procedure in which a layer of skin is physically removed, the risk of side effects is low, and those side effects that may appear are mild and temporary. Hemorrhagic petechiae in the conjunctiva and the skin have been related to type of suspension and body height of the victims of hangings. . When found in a case of suspect hanging, the presence of petechial hemorrhages strongly suggests the victim was hung when still alive. Hypocomplementemia is common with cryoglobulinemia, and there is a strong association between cryoglobulinemia and chronic hepatitis C infection. Immune thrombocytopenic purpura is an autoimmune condition with antibodies against several platelet surface antigens. (February 22, 2023). PMC Microdermabrasion should be avoided if you are: Inform your microdermabrasion provider if you have certain skin conditions, such as rosacea or telangiectasia. chia p-t-k-. I thought if I ran fast enough, the cancer would say "Dude, we can't keep up, we're outta here!" I am just headed to radiation in about 3 weeks, and with the Summer sun fast approaching, I was told that for the rest of my life I will have to protect the radiated side. World of Forensic Science. Postoperative TTP after orthopaedic procedures is particularly rare with only four case reports existing in the literature. The forensic significance of conjunctival petechiae. Acetaminophen or nonsteroidal anti-inflammatory drugs can be used to relieve arthralgias or abdominal discomfort. If you or your child have petechiae that spread quickly, or if you have dots plus other symptoms, seek medical attention. The use of microdermabrasion for acne: a pilot study. Borobia AM, Carcas AJ et al. Please enable it to take advantage of the complete set of features! After a few days of aftercare and adhering to a moisturizing skin care regimen, any dryness should clear up and your skin should return to normal. : a minute reddish or purplish spot containing blood that appears in skin or mucous membrane as a result of localized hemorrhage. . LOL! Clment R, Guay JP, Redpath M, Sauvageau A. Deposition of IgA in dermal vessels confirms the diagnosis and rules out other causes of leukocytoclastic vasculitis. Signs of bleeding may include: Petechiae, which are small, flat red spots under the skin caused by blood leaking from blood vessels Purpura, which is bleeding in your skin that can cause red, purple, or brownish- yellow spots Include a moisturizer to your skin care routine if you are not already doing so. Disclaimer. Depending on the size of the treatment area, the entire procedure will last between 3060 minutes. This site uses cookies. See more with MDedge! Book now for $1000 off LASIK + Affordable Financing Options Available, Clinical Practice Guidelines-Petechiae and Purpura. Epub 2017 Mar 27. You did not mention complement studies as there may have been an associated consumption of complement. This condition is common and can be a sign of other medical conditions. Rao VJ, Wetli CV. Karimipour, D. J., Kang, S., Johnson, T. M., Orringer, J. S., Hamilton, T., Hammerberg, C., Fisher, G. (2005, February). Petechiae developed in 8 cases. This usually happens from damage to your capillaries the smallest blood vessels in the skin. Your skin is likely to return to its normal complexion a few hours after microdermabrasion. Davido, Benjamin, et al. I don't know all about your treatment, but if you are just beginning Tamoxifen, I assume you had radiation recently. Best of luck with your journey.BL, im newly diagnosed this year and post surgery have only been on Tamixifen for about 3weeks. Luckily, I have worn sun hats for several years so that habit shouldn't be hard to continue. Lastly, tanning sessions are quite affordable compared to in-office phototherapy sessions. Definition. They can be caused by a simple injury, straining or more serious conditions. sharing sensitive information, make sure youre on a federal Bite. 2023 Copyright Derm Collective. Rubegni P, Feci L, Pellegrino M, et al. I know when I feel like doing that, the fear is winningso I start a new project or divert myself. So why did I buy the kids? In the latter circumstances, they are not considered a cause of the child having been smothered or otherwise asphyxiated. In many cases of leukemia, the white cell blood count is much higher than normal. His platelet count was low at 110 103 per L (110 109 per L), but findings on a complete blood count and basic metabolic panel were otherwise normal. I found SPF 50 SPRAY ON (!) see also Asphyxiation (signs of); Hanging (signs of). Solar purpura--an unusual manifestation of polymorphous light eruption. Side effects, if they present, are mild and temporary and do not cause a significant impact on daily life. BallcapsBluwillo - the ballcap a friend gave me is pink - but says "Fight Like a Girl." [2] Copyright 2023Frontline Medical Communications Inc., Newark, NJ, USA. //]]>. Hope this helps. 4th ed. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. junctival petechiae was "not great," even in the living subject. Petechiae are tiny spots of bleeding under the skin. We refer to them in plural because they are barely seen individually and they are usually displayed in clusters. They range in size from the size of a speck of dust to around two millimeters and may occur in distinct groups. The reason these lotions are called tingle tanning is that they give a tingling sensation on your skin after you apply the lotion; hence the name. Sore throat, fever, swollen tonsillar glands, muscle pain, fatigue, A disorder affecting the blood vessels with inflammation followed by thickening of the vessel wall, Fatigue, fever, headache, peripheral neuropathy (numbness and weakness), or even stroke, Diseases like Ebola, Marburg, and Dengue that disrupt blood clotting mechanisms, Generalized body weakness and pain, high fever, as well as bleeding from body orifices, Other common bacterial and viral diseases such as Rocky Mountain Spotted Fever and Hantavirus, Fever, general body weakness, aches, sore throat, swelling glands, nausea, and vomiting, Painful joints, gum swelling, easy bruising, and breathlessness. Ann d'Hyg Publ Med Legal. Drug reactions are also implicated in a substantial number of cases. Andrews, S. N., Zarnitsyn, V., Bondy, B., & Prausnitz, M. R. (2011). It has been proposed that sunburn purpura is a finding associated with a number of conditions rather than a unique entity.1 The following characteristics can be helpful in describing the development of sunburn purpura: delay following UV exposure, gross morphology, histologic findings, and possible associated medical conditions.1 Our case represents an important addition to the literature, as it differs from previously reported cases. 34 year-old female with no significant past medical history who presented for the evaluation of petechiae rash from Pfizer COVID-19 vaccine. Petechiae, fevers and myalgias lasted for one week. Improvements to the skin following a microdermabrasion session are mild but clinically significant. We do not provide medical diagnosis, advice, or treatments. Optimization of microdermabrasion for controlled removal of stratum corneum. They help move oxygen and nutrients from your. (March 2016). ." Petechiae are pinpoint, round spots that appear on the skin as a result of bleeding. Petechiae are pinpoint-sized spots that appear on the skin and mucous membranes because of bleeding from the capillaries below these surfaces. The lesions were mildly tender to palpation. Most procedures, as a rule, carry greater risk of adverse effects for darker skin types, explains Dr. Downie. normal blood tests. She had not recently exercised, was not thrombocytopenic, and was not taking antiplatelet medications. These biopsy results were consistent with sunburn purpura. Retrieved from. I was really lucky that during diagnosis and treatment, I was also going to college full time. The only medication taken was etonogestrel-ethinyl estradiol vaginal ring. Risk of infection can be minimized by going to a professional dermatologist or clean and safe salon or spa. !SPF 50 Hugs,Chen. ITP is characterized by increased bleeding, commonly presenting with flat/non-palpable petechiae and mucosal hemorrhages, and in some patients, urogenital bleeding and increased menstrual. The information on our website is intended for educational purposes only. . what could it be? When petechiae are caused by straining, they can be prevented by avoiding the actions that cause straining. Guess what's sitting on my head right now? Biopsy exposure to fluorescein-labeled antibodies directed against IgG, IgM, IgA, C3, and polyvalent immunoglobulins (IgG, IgM, and IgA) yielded no immunofluorescence. Microdermabrasion is a skin rejuvenation procedure that physically exfoliates the skin by peeling away the stratum corneum, or outer layer of skin. They are smaller than 2 mm and usually flat. (when I wore tank tops or swim suit) more so. After one day on the beach I felt 'itchy' but thought little of it. If medications are responsible for your petechiae, discontinuing the associated drug and seeking an alternative is recommended. Purpura is the name given to the discolouration of the skin or mucous membranes due to haemorrhage from small blood vessels. Diseases & Conditions Procedures & Tests Symptoms & Signs. Pin-sized reddish-purplish spots called petechiae can appear on the skin. Nosebleeds are common and are treated by the application of cold and pressure. The rash that everyone os talking about is most likely a contact dermatitis. Cryoglobulinemia can cause vasculitis from blood vessel deposition of cryoglobulins.3 These proteins precipitate at temperatures below normal body temperature and can be associated with acral purpura, arthralgias, generalized weakness and fatigue, peripheral neuropathy, and glomerulonephritis. It is important to note that a single dose of the mRNA vaccines may be insufficient to prevent against the delta variant of SARS-CoV-2. "Concerning Tamoxifen, your friend should know that sun exposure should be avoided and protective clothes worn when in the sun. B., & Spandau, D. F. (2014). The follicle openings are often closed with a white . References Secondly, tannings beds can deliver a better-looking tan compared to other tanning methods. The answer is E: IgA vasculitis. Get plenty of sleep, don't exercise within 24 hours, and try to not lay on the . If you have pinpoint-sized red dots under your skin that spread quickly, or petechiae plus other symptoms, seek medical attention. Uusimaa (Finnish: [usim]; Swedish: Nyland, Finland Swedish: [nylnd]; both lit. Identify the layers of the skin. Boca Raton, US: CRC Press Taylor & Francis Group; 2016:369397. They can appear as red, brown or purple lesions that do not disappear when squeezed. Petechiae. [8] 2. Loesch, M. M., Somani, A. K., Kingsley, M. M., Travers, J. Capillaries are the tiniest blood vessels that connect arteries to veins. This content is owned by the AAFP. Accessibility Petechiae are something that usually last for at least 2 weeks. Pulmonary manifestations and glomerulonephritis are common, Necrotizing inflammation of small- to medium-sized vessels, with ANCA, Acral purpura, arthralgias, generalized weakness and fatigue, peripheral neuropathy, glomerulonephritis, Mixed cryoglobulinemia commonly due to chronic hepatitis C infection, Petechiae and purpura that develop within seven to 21 days of medication exposure, Immune complex deposition in small vessels, Petechiae and purpura are common when platelet count is very low, without associated systemic symptoms, Autoimmune condition with antibodies against several platelet surface antigens, Purpura accompanied by arthralgias, abdominal pain, hematuria, and proteinuria; often preceded by an upper respiratory tract infection, Deposition of immune complexes containing immunoglobulin A. Prelimianry data show mixing vaccine platforms results in a robust immune response (3,4). The oncologist said it was from the chemo, so I suppose Tamoxifen could make you sun-sensitive, too. You should contact a doctor when you or your child develops non-blanching red spots of less than 2 mm with any of the following associated symptoms: Infections by bacteria and viruses remain the leading cause of petechiae among different age groups.