Management of purpura fulminans at the upper extremity

Purpura fulminans is a rare but catastrophic disease that can lead to sever e impairment of the lower and upper limbs. Final functional prognosis is do minated by the importance of the distal amputations resulting from massive tissue necrosis. Sequelae are in relation;hip with stiffness of the joints caused by osteoarthritis and various deformities caused by growth disturban ces. Surgical management should be proposed at all the stages of the evolut ion.