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July 1979

Erythema Chronicum Migrans With Purpura and Polymorphonuclear Infiltrates

Author Affiliations

From the Departments of Dermatology (Drs Gross, Cooper, and Nolan) and Pathology (Dr Cooper), University of Virginia Medical Center, Charlottesville.

Arch Dermatol. 1979;115(7):873-874. doi:10.1001/archderm.1979.04010070049024

Erythema chronicum migrans with an intensely purpuric border developed in a 70-year-old woman. A biopsy specimen, in addition to showing the usual perivascular mononuclear infiltrate, demonstrated numerous polymorphonuclear leukocytes associated with leukocytoclasis. Immunofluorescence study showed vascular deposition of IgM and C3.

(Arch Dermatol 115:873-874, 1979)