2018 Jan;11(1):13-18. A purple spot on your lip might be from an allergic reaction to food or excessive chewing on the lip. 2006 Feb;28(2):266-79. doi: 10.1016/j.clinthera.2006.02.011. You may need blood tests to count your platelets or time how fast your blood clots. All information is observation-only. This new treatment appears to both safely and effectively diminish skin bruising in patients with senile purpura. Posted by ellerbracke @ellerbracke, May 24, 2019 . With DIC there is massive ecchymosis with sharp, irregular borders of deep purple colour and an erythematous halo. Schamberg's purpura in children: case study and literature review. Purpura, also known as skin hemorrhages or blood spots, can signal several medical problems, ranging from minor injuries to life threatening infections. All rights reserved. Solar Purpura - Meaning, Causes, Symptoms, Treatment Bateman's Purpura and How It Causes Bruising in the Elderly - Skin Site Thrombocytopenic means there's a lower than normal number of platelets in the blood. Senile Purpura - Hematology and Oncology - Merck Manuals Professional They may be raised or flat, and different sizes. There are different types of purpura. Why do steroids cause purpura? Henoch-Schonlein purpura. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Petechiae vs. Purpura: What Skin Discoloration Can Tell You About Your Health. The disease is manifested by bruises, which are usually located on the hands and appear for no apparent reason. Participants were permitted to take warfarin, clopidogrel or aspirin during the study if they were on these medications previously. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Last updated on Feb 6, 2023. National Institutes of Health, U.S. National Institute of Medicine: National Institutes of Health, U.S. National Institute of Medicine: MedlinePlus. Basal Cell Carcinoma Removed From President Bidens Chest, The Cutaneous Connection- Episode 35: QRPs and the Dermatology Practice, Oral Nicotinamide Not Beneficial in Preventing Skin Cancer in Organ Transplant Recipients, The Cutaneous Connection: An Inside Look of the Inclusive Atlas, FDA Approves First-of-Its-Kind Medical Device for Second-Degree Burn Care. Damaged blood vessels leak even though platelet counts are in the normal range. Copyright Merative 2022 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Both primary and secondary amyloid can cause purpura that is known as 'pinch purpura' because of the typical appearance on the cheeks. Purpura isnt a medical condition but a sign of another condition causing the bleeding. Dosage of drugs is not considered in the study. The mild joint pain of IgA vasculitis is usually treated with over-the-counter (OTC) pain medications. If a child has bruising, check all over, including the anogenital area. Policy. Its common for petechiae to resemble a rash because the dots are tiny and tend to cluster. Usually it is a self-limiting condition but it may respond to steroids. Purpura is one of the first signs. Asif M, Quiroga L, Lagziel T, Ladd SB, Caffrey J. Purpura is purple spots or patches on your skin or in your mucus membranes (such as your mouth and throat). If it doesn't, the above treatments may be used. Senile purpura causes ecchymoses and results from increased vessel fragility due to connective tissue damage or atrophy in the dermis caused by chronic sun exposure, aging, and drugs. The four main characteristics of Henoch-Schonlein purpura include: See your doctor if you have Henoch-Schonlein purpura and it's causing serious problems with your digestive tract. National Library of Medicine 2022 Aug 8. 8. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Shellow WVR. Disclaimer. The cause of purpura depends on the type. Some people use alpha-hydroxy acid cream or tretinoin cream to make skin thicker. Conclusions: Using IV vitamin K to help with blood clotting, Possible treatment with prostaglandins and immunosuppressants. The information on this page is written and peer reviewed by qualified clinicians. No adverse effects were noted by either the patients or investigators. It is caused by atrophy of the collagen fibres supporting blood vessels in the skin. What do you know about the Sun and the damage it can cause to our skin. See a picture of Henoch-Schonlein Purpura and learn more about the health topic. 38. o [ pediatric abdominal pain ] -. Purpura and microvascular occlusion. Purpura refers to purplish cutaneous or mucosal lesions caused by hemorrhage. Purpura. Alcohol, Aspirin and Prenisone: Alcohol, aspirin, and prednisone can also contribute to the occurrence of Batemans purpura. Determining if the purpura is related to a blood clotting disorder or platelet issue is the first step in diagnosing the condition causing purpura. -, Smith KE, Fenske NA. Careers. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. Efficacy and tolerability of sustained-release tramadol in the treatment of symptomatic osteoarthritis of the hip or knee: a multicenter, randomized, double-blind, placebo-controlled study. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. For example, if purpura is related to a blood clotting disorder or low platelet levels, it can put your life at risk. Keywords: Other types of purpura don't fit into the thrombocytopenic or nonthrombocytopenic categories. The phase IV clinical study analyzes which people take Alcohol and have Purpura. Low platelet (a blood cell that stops your body from bleeding) levels Platelets that do not work correctly Injury to blood vessels Fragile or weak blood vessels An allergic reaction to a blood transfusion Dear Dr. Roach: 'Senile purpura' is the medical name for bruising in What causes purpura? the unsubscribe link in the e-mail. New lesions appear without recognized trauma and then resolve over several days, leaving a brownish discoloration caused by deposits of hemosiderin. Bleeding occurs due to a weakening of the blood vessels present in the dermis layer of the skin. A new experimental oral medication known as Purpurex (New Vitality) is effective in improving and even clearing the appearance of senile purpura, while helping to prevent new lesions from occurring, according to a recent study. It's not clear why this initial inflammation develops. Then antibodies bind to heparin in the bloodstream. A similar appearance is also found in senile-type purpura. The glass test (diascope) is well known to patients and is very useful. It is due to the production of an antibody to a specific platelet antigen that the woman normally lacks. All rights reserved. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. 2021 May 25;10(11):2283. doi: 10.3390/jcm10112283. 2004 Nov;26(11):1774-82. doi: 10.1016/j.clinthera.2004.11.005. Tell him about any health condition you have that causes bleeding. Accessed May 5, 2021. Accessibility In: Nelson Textbook of Pediatrics. 1987 Dec;26(12):659-61. doi: 10.1177/000992288702601210. The size and distribution of purpura are usually determined by what's causing them. You have irregular or heavy menstrual bleeding. information and will only use or disclose that information as set forth in our notice of Some of these changes can include: bones shrinking in size or becoming weaker. National Library of Medicine Last reviewed by a Cleveland Clinic medical professional on 04/13/2022. The skin is sun-damaged, thin and wrinkly, almost flimsy looking. Joshisree KP, Rajesh G, Siddarama R. Corticosteroids induced ecchymosis. Nearly half the people who have Henoch-Schonlein purpura developed it after an upper respiratory infection, such as a cold. The management of the various diseases is found in the respective articles. On dark skin, the patches appear dark brown or black. IgA vasculitis. Your arm or leg looks bigger than normal and feels warm, tender, or painful. In addition, moderate combined (cellular and humoral) immunodeficiency was found. Characterized by dark purple blotches of irregular form and size, the benign lesions are purely cosmetic lesions and typically a source of embarrassment. Carrie Madormo, RN, MPH, is a health writer with over a decade of experience working as a registered nurse. For example, they may appear brownish-black on darker complexions and reddish-purple on lighter complexions. The condition usually improves on its own. Unable to load your collection due to an error, Unable to load your delegates due to an error. Be guided by your findings so far. Clin Dermatol. To evaluate the efficacy of a novel nutraceutical citrus bioflavonoid blend in improving the skin's appearance in patients with senile purpura. Your healthcare provider should treat bleeding or bruising under your skin (that isnt from a known injury), as it may be a sign of a more serious condition. Senile purpura is benign, easy bruising that affects older adults. Your healthcare provider will begin with an examination of your skin. Some reports may have incomplete information. Senile purpura: Causes, symptoms, and diagnosis - Medical News Today Inflammation damages blood vessels and allows red blood cells to leak and cause a fine rash. Verywell Health's content is for informational and educational purposes only. You may be more at risk of complications if you have a vitamin C deficiency. -. Before You vomit blood or material that looks like coffee grounds. a decrease in flexibility, strength, or endurance. Make a donation. TP has other bleeding-related symptoms, other causes, and a variety of treatment options. This article looks at the types, symptoms, and causes of purpura and how the condition is treated. Background: Brought to you by Merck & Co, Inc., Rahway, NJ, USA (known as MSD outside the US and Canada) dedicated to using leading-edge science to save and improve lives around the world. Instead, its a sign of another condition. Immunologic disturbances thereby acquired could have constituted a basis for a hypersensitivity-like reaction after ingestion of alcohol. Patients develop persistent dark purple ecchymoses, which are characteristically confined to the extensor surfaces of the hands and forearms. Do You Bruise Easily With Hiv - HIVTalk.net https://www.uptodate.com/contents/search. Yousef GM, Goebel LJ. Federal government websites often end in .gov or .mil. In: Ferri's Clinical Advisor 2019. The ecchymoses can cause cosmetic concerns and permanent dyspigmentation (change in the skin color) or scarring, but the lesions are not associated with any serious complications. The benign character of the purpura was supported by missing circulating immune complexes or complement activation. Subjects were randomized into two groups receiving either a citrus bioflavonoid blend or placebo medication, which was taken orally twice daily for six weeks. Clin Ther. What Is Idiopathic Thrombocytopenic Purpura (ITP)? Take the Sun Safety Quiz and learn how to protect yourself during fun in the sun. Background: Senile purpura is a common, chronic skin condition affecting more than 10 percent of individuals over the age of 50. Accessed May 13, 2019. On light skin, purpuras appear purple. You can discuss the study with your doctor, to ensure that all drug risks and benefits are fully discussed and understood. In most cases, purpura isnt serious and goes away with treatment. Explore images of squamous cell carcinoma and the early signs of skin cancer. To avoid sunburn, people should limit sun exposure during the peak hours of 10 a.m. to 3 p.m., wear protective clothing, and use a sunscreen. Accessibility In children, often following a viral infection like chickenpox, the ITP usually goes away without treatment. Thomas Bateman, a British dermatologist, first described the condition in the year 1818. Reamy BV, et al. Nonthrombocytopenic purpura often doesn't need to be treated. Thrombocytopenic purpura (TP) is a consequence of thrombocytopenia. Thrombopoietin receptor agonists (such as romiplostim [Nplate] or eltrombopag [Promacta]) to increase platelet levels. A single copy of these materials may be reprinted for noncommercial personal use only. The treatment depends on the cause. This includes: Warfarin-induced skin necrosis treatment consists of: Purpura causes dark or purples spots or patches on your skin. Learn more about the Merck Manuals and our commitment to Global Medical Knowledge. Some people prefer to cover the spots with makeup. An official website of the United States government. and transmitted securely. If you develop purpura, see your healthcare provider so you know what's causing it. Cochrane Database Syst Rev. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. You may have other symptoms depending on what is causing your purpura. doi:10.7759/cureus.22791. Senile Purpura: Clinical Features and Related Factors. A blood test will reveal a low platelet level. A Cochrane review found no evidence of benefit of short courses of prednisolone in preventing serious kidney disease in HSP[9]. See additional information. FOIA This site needs JavaScript to work properly. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2947115/), (https://pubmed.ncbi.nlm.nih.gov/11515831/), (https://www.nhlbi.nih.gov/health-topics/thrombotic-thrombocytopenic-purpura). generic drugs) are not considered. Dedeoglu F, et al. Such a peculiarity was observed in a 55-year-old man with a 30-year history of heavy alcohol use. Think of these in chronic cases. Henoch-Schonlein purpura is an inflammation of the small blood vessels of the skin, joints, bowels and kidneys. Senile Purpura - Hematology and Oncology - Merck Manuals Professional Small lesions (< 2 mm) are termed petechiae, and large lesions are termed ecchymoses or bruises. Before When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Purpura is reported only by a few people who take Alcohol. They look red or purple on lighter skin tones but appear brown or black on darker skin tones. official website and that any information you provide is encrypted You may find the Skin Rashes article more useful, or one of our other health articles. Theyll take note of the size and color of the purpura and ask you when they first appeared. Nonthrombocytopenic purpura (NTP) involves bleeding due to alterednot lowplatelet function or inflammation. Wearing protective sleeves can help to prevent bumps and bruises that lead to purpura. Idiopathic means that the cause of the condition isn't known. Pigmented purpuric dermatoses are a group of diseases characterised by erythrocyte extravasation - particularly in the lower limbs, associated with haemosiderin deposition. Accessed May 13, 2019. Senile Purpura: Clinical Features and Related Factors. 2000;43(1 Pt 1):118. These have been outlined in 'Differential diagnosis', above. These include: Chemotherapy drugs can damage platelets, as well. Available for Android and iOS devices. a There is a light perivascular lymphocytic infiltration, MeSH Cureus. Use to remove results with certain terms 2020;102(4):229-233. 2009 Aug 14;8:38. doi: 10.1186/1475-2891-8-38. Cureus. There is a problem with Recurrent purpura due to alcohol-related Schamberg's disease and its Your healthcare provider may recommend tests such as a complete blood count (CBC) or a skin biopsy to determine the cause of the purpura. Purpura may happen anywhere in your body. It has an unfortunate connection to dementia because the term "senile dementia" used to be used for all types of dementia, especially Alzheimer's disease. Cureus. Schamberg's purpura in children: a review of 13 cases. Senile purpura is considered a consequence of skin aging primarily attributable to photodamage and is often called dermatoporosis 2. -, Therapondos G, Delahooke TE, Hayes PC. Bleeding underneath the skin causes tiny red or purple dots called petechiae. Purpura usually consists of smaller dots that cluster in a specific area but may appear as one larger patch. Senile purpura is a prevalent non-cancerous condition marked by recurrent development of purplish bruises or ecchymoses on the extensor surface of the arms, usually after some kind of mild trauma. Case presentation: But it could simply be a bruise, which is also caused by ruptured blood vessels underneath the skin. IgA vasculitis (Henoch-Schonlein purpura): Management. This site complies with the HONcode standard for trustworthy health information: verify here. Cablivi (caplacizumab-yhdp) is a von Willebrand factor (vWF)-directed antibody fragment indicated for the treatment of adult patients with acquired thrombotic thrombocytopenic purpura (aTTP), in combination with plasma exchange and immunosuppressive therapy. Henoch-Schnlein purpura tends to occur in children. It can be hard to stop bleeding from cuts and scrapes. include protected health information. She has practicedin a variety of settings including pediatrics, oncology, chronic pain, and public health. Bruises and blood spots under the skin. Review/update the The most striking feature of this form of vasculitis is a purplish rash, typically on the lower legs and buttocks. Use OR to account for alternate terms The skin in alcoholism. WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. It is created by eHealthMe based on reports of 18,201 people who have side effects while taking Alcohol from the FDA, and is updated regularly. That leads to low levels. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Advertising revenue supports our not-for-profit mission. Epub 2018 Jan 1. Hemorrhagic macules, papules, and urticarial lesions on the foot of a child with Henoch-Schonlein purpura. 2003 Jan;48(1):31-3. doi: 10.1067/mjd.2003.25. Epub 2019 Jul 1. Determine how long the rash has been present and whether it is changing noticeably. A similar appearance is also found in senile-type purpura. Manage or treat the underlying disease causing the purpura. When platelets are low, blood doesn't clot properly. If platelet levels are OK, a skin biopsy may be the next step. Record the pronunciation of this word in your own voice and play it to listen to how you have pronounced it. Results showed that fasting plasma zinc levels were lower in those with senile purpura, than those without.) Rarely, serious kidney damage can occur. "Zinc deficiency in senile purpura". You have blood in your urine or bowel movement. It is helpful to classify causes into vascular (non-thrombocytopenic) and thrombocytopenic disorders. Background: Platelets (thrombocytes) are cells in your blood that cause clots and prevent excessive bleeding. This content does not have an Arabic version. If your child develops the rash associated with this condition, see your doctor as soon as possible. Semin Fetal Neonatal Med. The asymptomatic purpura was limited to both lower limbs, self-limiting with abstinence, and reoccurring swiftly with alcohol relapse. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. How to pronounce senile purpura | HowToPronounce.com Small lesions (< 2 mm) are termed petechiae, and large lesions are termed ecchymoses or bruises. Oxford: Wiley-Blackwell; 2010. p. 49.1. Long-term use of strong steroids can cause widespread purpura and bruising, normally on extensor surfaces of the hands, arms and thighs. Use for phrases That is why you see a mixture of brown and purple spots. But recurrences are fairly common. from the best health experts in the business. Also tell him what medicines or supplements you take. Long-term steroid use can cause purpura by destroying collagen, which is a component of small blood vessels. Allergic causes such as Henoch-Schnlein purpura, connective tissue disorders (eg. doi: 10.1016/S0738-081X(99)00021-8. information submitted for this request. Objectives: Lesions keep their dark colour often for several weeks and there is no abnormality in bleeding times. Wali M, Latif MT, Lockwood M, Saeyeldin A, Borz-Baba C. Warfarin-Induced Skin Necrosis Despite Enoxaparin Bridging Therapy. It's also more common in boys than girls. If the patient is on warfarin, check INR. It usually follows a respiratory illness, such as strep throat, but the exact cause is unknown. Anyone can get purpura. Purpura - What You Need to Know - Drugs.com Purpura: Blood Spots, Thrombocytopenic, Symptoms & Causes J Am Acad Dermatol. The site is secure. Small lesions (< 2 mm) are termed petechiae, and large lesions are termed ecchymoses or bruises. University of Michigan Health, Michigan Medicine. Bruising Hands And Arms - American Osteopathic College of - AOCD The platelet count is fundamental. Anacin Adult Low Strength, Aspergum, Aspir-Low, Aspirtab , Aspir-Trin , Bayer Advanced Aspirin, Bayer Aspirin, Bayer Aspirin Extra Strength, Bayer Aspirin Plus, Bayer Aspirin Regimen, Bayer Children's Aspirin, Bayer Extra Strength, Bayer Extra Strength Plus, Bayer Genuine Aspirin, Bayer Low Dose Aspirin Regimen, Bayer Womens Aspirin , BeneHealth Aspirin, Bufferin, Bufferin Extra Strength, Bufferin Low Dose, DURLAZA, Easprin , Ecotrin, Ecotrin Low Strength, Genacote, Halfprin, MiniPrin, St. Joseph Adult Low Strength, St. Joseph Aspirin, VAZALORE, Zero Order Release Aspirin, ZORprin. Tenderness may suggest an inflammatory process. Spots less than 4 millimeters (mm) in diameter are called petechiae. The others include: You may also have redness or a rash where the heparin was administered. Acquired causes such as severe infections (eg. Purpura refers to purplish cutaneous or mucosal lesions caused by hemorrhage. What You Need to Know About Living With Low Platelets, Signs and Symptoms of Abnormal Bruising in Children, Fetal and neonatal alloimmune thrombocytopenia, Humeral Diaphyseal Osteolytic Lesion as the Initial Presentation of Acute Myeloid Leukemia in a Child: A Case Report and Review of the Literature, Gamma-Delta Large Granular Lymphocytic Leukemia: A Diagnostic Dilemma, Henoch-Schnlein purpura (IgA vasculitis): Rapid evidence review, Warfarin-Induced Skin Necrosis Despite Enoxaparin Bridging Therapy, A Multidisciplinary Approach to the Management of Severe Purpura Fulminans in a Burn Center: A Case Series, Vitamin C deficiency in an anticoagulated patient. Patient self-assessment of the effectiveness of the medication echoed the results of an investigator global assessment with a statistically significant improvement in the skin's appearance noted by the patients receiving the active medication. Medical care is generally needed if the disorder affects the kidneys. It is created by eHealthMe based on reports of 18,201 people who have side effects while taking Alcohol from the FDA, and is updated regularly. 2020 (102): 229. https://www.clinicalkey.com. They're usually quite serious and require immediate treatment. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Some blood cancers (lymphomas and leukemias) can cause low levels of platelets. Purpura is reported only by a few people who take Alcohol. IgA vasculitis (Henoch-Schonlein purpura): Clinical manifestations and diagnosis. Henoch-Schnlein purpura (IgA vasculitis): Rapid evidence review. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. doi: 10.1016/S0738-081X(99)00033-4. sharing sensitive information, make sure youre on a federal Theyll discuss your medical history and any drugs or medications youre taking. Treating purpura involves identifying and stopping the underlying cause of the bleeding. Treasure Island (FL): StatPearls Publishing; 2022 Jan. It is often preceded by an upper respiratory tract infection due to beta-haemolytic streptococcal infection. doi:10.7759/cureus.20883. Henoch-Schonlein purpura (also known as IgA vasculitis) is a disorder that causes the small blood vessels in your skin, joints, intestines and kidneys to become inflamed and bleed. Senile purpura is a condition which is mostly seen in older adults. Common causes of thrombocytopenic purpura are: Common causes of nonthrombocytopenic purpura are: Purpura isnt a medical condition. Pigmented Purpuric Dermatoses: A Complete Narrative Review. The term 'purpura' describes a purplish discolouration of the skin that is produced by small bleeding vessels near the surface. Although it is a common and clinically important condition, only a few studies have described in detail the clinical features or factors related to senile purpura 3 . After the procedure a zinc-based sunscreen will be applied to both arms. Bookshelf Purpura is small, flat spots on your skin. This sequence was observed six times, suggesting a causative role of alcohol or its metabolites. Chronic Skin Fragility of Aging: Current Concepts in the Pathogenesis, Recognition, and Management of Dermatoporosis. 21st ed. Heparin induced thrombocytopenia. Senile purpura bruises and treatment options - Mayo Clinic Connect An official website of the United States government. Warfarin-induced skin necrosis starts with purpura, then progresses to: This condition most often affects specific areas of the body. Residual hemosiderosis (iron deposition) in the affected area may occur. Treatment of actinic purpura is mainly conservative. Terms of Use. Heparin-induced thrombocytopenia requires immediate treatment. 2019 Aug 25;11(8):e5478. doi: 10.1067/mjd.2000.104512. Blood thinners, including aspirin, coumadin, and alcohol all may worsen the condition. Cutaneous manifestations of alcohol abuse. Senile purpura is different than conditions that cause easy bruising, due to bleeding disorders. It may seem unusual to place examination before history but there is some logic to this. These changes are usually related to sun damage or aging. Note whether general easy bruising has been noticed. vol. Purpura is a flat, discolored spot on the skin caused by small blood vessels that leak and cause blood to pool under the skin's surface. Henoch-Schonlein purpura (IgA vasculitis): Rapid evidence review. In Henoch-Schonlein purpura, some of the body's small blood vessels become inflamed, which can cause bleeding in the skin, abdomen and kidneys. Purpura can be a sign of a severe disease or underlying condition. Reamy BV, Servey JT, Williams PM. With medical big data and AI algorithms, eHealthMe is running millions of phase IV trials and makes the results available to the public. AskMayoExpert. By Carrie Madormo, RN, MPH Purpura is between 4 millimeters (mm) and 10 mm in diameter. Browse our medical image collection of allergic skin disorders such as psoriasis and dermatitis and more caused by allergies, Rohini Radhakrishnan, ENT, Head and Neck Surgeon, Tough Journeys: When Cancer Strikes People Living With Dementia, Sea Spray Can Waft Polluted Coastal Water Inland, Cats, Dogs 'Part of the Family' for Most American Pet Owners: Poll, Dozens of Medical Groups Launch Effort to Battle Health Misinformation.
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