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March 1926


Arch Derm Syphilol. 1926;13(3):418-422. doi:10.1001/archderm.1926.02370150122017

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Angioma Serpiginosum. Presented by Dr. Blosser.  G. W. J., a man, aged 59, has had a reddish stain or mark in each popliteal space ever since he can remember. Each is about the size of a quarter and resembles a portwine stain. About five years ago similar lesions began to appear on both ankles and feet. At the present time there is a meshwork of reddish, vascular rings, in some areas coalescing to form patches of uniform redness. Toward the periphery there are scattered small red puncta extending to the lower parts of the legs. There is moderate itching, which is worse in hot weather.

DISCUSSION  Dr. Blaisdell: I think the lesions could be accounted for by long continued varicose veins, and I should be content to call the condition a varicose eczema. The blood can be pressed out of many of the veins, suggesting a venous stasis.Dr. Greenwood

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