A review of the literature concerning psychogenic purpura is presented. The 
diagnosis is usually based on typical anamnestic data, clinical presentation 
(painful inflammatory skin lesions, which progressed to ecchymoses during the 
next 24 h) and positive diagnostic tests with intracutaneous injections of 80% 
solution of washed autologous erythrocytes. No pathological findings of blood 
coagulation parameters are usually detected. Histopathological evaluations of 
lesional biopsies revealed non-specific changes. Taking into account the high 
frequency of psychic disorders and stress dependence of skin symptoms, therapy 
with psychotropic drugs (according to indications) and psychotherapy are 
pathogenetically grounded methods of treatment in psychogenic purpura, and 
should be provided together with symptomatic therapy.