THE ROLE of hypersensitivity in acute arterial disease has been emphasized by Rich.1 We have recently seen 2 patients with acute arteritis, and both had definite atopy. In 1 the arterial disease was not diagnosed until the necropsy was performed. In the other, who had an acute angiitis accompanied with severe exacerbation of an allergic dermatitis, the diagnosis was made during life, recovery probably being favored by the demonstration of the underlying pathologic process. In addition to the theoretic interest, therefore, it is hoped that an increasing awareness of this syndrome will have practical applications in clinical diagnosis and treatment.
REPORT OF CASES
Case 1.2—J. K., a 40 year old white farmer, was seen in the dermatology department in April 1946. He complained of perianal itching of two years' duration and a pruritic eruption around the perineum of nine months' duration. Scratch tests and a test diet
MIALE JB, DOEGE KH, PIEHL M. ACUTE PANARTERITIS IN ALLERGIC PERSONS. Arch Intern Med (Chic). 1947;80(6):791–798. doi:10.1001/archinte.1947.00220180096007