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December 1977

Vesicular Pityriasis Rosea

Author Affiliations

Liverpool, England

Arch Dermatol. 1977;113(12):1733-1734. doi:10.1001/archderm.1977.01640120101040

To the Editor.—  I was interested to read the communication by R. L. Garcia (Archives 112:410, 1976) on vesicular pityriasis rosea. Far from being a previously unreported finding in this papulosquamous disease, it was discussed at some length by Milian1 under the heading of "Trisyndrome."My attention was first drawn to Milian's trisyndrome by Prof G. H. Findlay of Pretoria, South Africa.The condition consists of an initial lesion, followed by a generalized eruption, characterized by three main elements: (1) a macular rash, distributed over the trunk and limbs, which follows the lines of the skin; (2) localized, erythematous, edematous areas that occupy considerable areas of the skin; and (3) dyshidrotic vesicles and bullae on the fingers and hands.In the discussion of the ten cases observed by Milian, he made it clear that he considered that the trisyndrome was an uncommon manifestation of pityriasis rosea and a common

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