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Dr Griffiths' comments are appreciated. Although I was unable to obtain his reference, I believe my cases differed from the trisyndrome. We presented a vesicular eruption of the feet that apparently heralded the onset of pityriasis rosea, a papulosquamous disease. Dr Griffiths presents a trisyndrome consisting of a macular rash, dyshydrosis of the hands, and large areas of edematous skin.
Garcia RL. Vesicular Pityriasis Rosea-Reply. Arch Dermatol. 1977;113(12):1734. doi:10.1001/archderm.1977.01640120101041