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DAVID R. WEAKLEY, M.D.; EINAR A. JUHLIN, M.D.

Arch Dermatol. 1961;84(4):574-578.

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Wegner,¹ in 1877, proposed the first histologic classification of lymphangiomata. It sufficed until 1921, when Fabry and Ziegenbein² reported 2 cases entitled ``lymphangiokeratoma circumscriptum naeviforme.'' These apparently differed from the condition designated lymphangioma circumscriptum by Wegner and simple lymphangioma by Watson³ and Allen⁴ in that they appeared later in life and revealed hyperkeratosis on histologic examination. In 1895, however, Kaposi⁵ had reported congenital lymphangiomata which showed histologic features indistinguishable from either the case reported here or those of Fabry and Ziegenbein. Kaposi's cases clearly indicated that congenital lymphangiomata are occasionally covered by a thickened stratum corneum.

The modern classification of Allen provides 2 convenient categories in which to place such lesions: (1) lymphangiectases (not congenital), and (2) simple lymphangioma (usually congenital). Allen also described the presence of thick-walled vesicles in areas of lymphedema, a finding known to occur in some patients several years after undergoing . . . [Full Text PDF of this Article]

Author Affiliations
NEW YORK

From the Department of Dermatology, College of Physicians and Surgeons, Columbia University, and the Dermatology Service, the Presbyterian Hospital.

Footnotes
Submitted for publication June 6, 1961.

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