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February 2003

The Acute Edema/Cutaneous Distension Syndrome

Arch Dermatol. 2003;139(2):225. doi:10.1001/archderm.139.2.225-a

In reply

We appreciate the letter from Dr Cox and his colleagues regarding our published manuscript. We also stress that we would like to promote recognition of the unusual cutaneous manifestation, striaelike epidermal distension, that we have described in 2 reports1,2 and that their group has also described.3 Although we do not regularly see these unique clinical features among our many clinical practice patients with acute leg edema, the condition is not rare. We have experienced 4 cases since 1999. (We noted the fourth case recently.4)