[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 50.16.17.16. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
January 1970

EMPHYSEMA

Author Affiliations

5111 Aldrich Ave S Minneapolis 55419

Arch Dermatol. 1970;101(1):117. doi:10.1001/archderm.1970.04000010119030

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

To the Editor.—  I have recently seen several patients with chronic pulmonary emphysema who had systemic areas of hyperpigmentation of the skin on the anterior lower thighs. This apparently is the result of chronic intermittent irritation secondary to a rather characteristic dyspneic posture often assumed by these patients. The patient frequently leans forward, supporting the weight of his trunk by placing his hands or elbows on his thighs just above the knees.

Report of a Case.—  A 65-year-old man had had chronic pulmonary emphysema for at least nine years. During the past four years he had noticed periodic tenderness and redness of the skin superior to the knees bilaterally. He associated this with continually leaning forward while sitting in an attempt to relieve dyspnea. He would support his trunk at those times by resting his hands or elbows on his anterior thighs (Fig 1). Subsequently he noted that these intermittently

First Page Preview View Large
First page PDF preview
First page PDF preview
×