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Transitory Pigmented Purpuric Eruption of the Lower Extremities
LAMAR S. OSMENT, M.D.;
RAY O. NOOJIN, M.D.;
ROBERT A. LEWIS, M.D.;
CHARLES H. LUPTON, M.D.
AMA Arch Derm. 1960;81(4):591-598.
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Introduction
Four well-known clinical syndromes comprise the group of purpuric pigmented eruptions.1 These consist of pigmented macular lesions involving predominantly the lower extremities. Additional variable characteristics include purpura, pruritus, atrophy, ulceration, and telangiectasia. We desire to describe a fifth entity which probably belongs to this group. It has been encountered by us more often than the combined total of the other four members. This entity does not appear to be clearly depicted in modern American dermatologic texts. Each of these five entities has distinguishing clinical characteristics, yet all have similar histopathologic features. However, we should like to emphasize that the clinical criteria for the clear-cut diagnosis of each member of this group are confusing, since many morphological features are shared.
Pigmented Purpuric Eruptions
Reports of the variable clinical features of (1) angioma serpiginosum (Hutchinson), (2) purpura annularis telangiectodes (Majocchi), (3) progressive pigmentary dermatitis (Schamberg), and (4) pigmented purpuric
. . . [Full Text PDF of this Article]
Author Affiliations
Birmingham, Ala.
From the Department of Dermatology (Dr. Osment, Dr. Noojin, and Dr. Lewis) and the Department of Pathology (Dr. Lupton), University of Alabama Medical Center, Medical College of Alabama.
Footnotes
Submitted for publication July 27, 1959.
Read before the Section on Dermatology at the 108th Annual Meeting of the American Medical Association, Atlantic City, June 12, 1959.
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