A Case for Diagnosis. Perivasculitis Nodosa Necrotisans? Presented by DR. MAURICE J. COSTELLO.
O. C., a Cuban woman aged 49, from the outpatient department of Bellevue Hospital, presents an eruption on the legs of one year's duration. It consists of quarter-sized to silver dollar-sized, hyperpigmented, indurated, plaquelike areas of phlebitis. There are about nine lesions on each leg. They are irregularly distributed and increase in size and induration peripherally.
The disease becomes ameliorated by rest in bed for a long time. During one period of hospitalization, when the patient was confined to bed for six weeks, the eruption underwent definite involution.
A biopsy was inconclusive.
DISCUSSION
DR. GEORGE M. LEWIS: The age of the patient and the deep situation of the lesions would favor the presenter's diagnosis rather than erythema induratum.
DR. E. WILLIAM ABRAMOWITZ: Was there any histologic resemblance to sarcoid?
DR. ISADORE ROSEN: The clinical features suggest the
. . . [Full Text PDF of this Article]
