2021;60:e117-9. 3 Kaufman AR, Oh DJ, Gliksberg A. Conjunctival and periorbital petechiae presumed secondary to self-inflicted asphyxiation in a pediatric patient. The patient had several episodes of intense vomiting related to alcohol intake 1 day before onset of the rash. We diagnosed petechiae induced by elevated intravascular pressure from her vomiting.