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August 25, 1945


Author Affiliations

Los Angeles

JAMA. 1945;128(17):1249. doi:10.1001/jama.1945.02860340055022

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To the Editor:—  The article "Nodular Vascular Diseases of the Legs," by Montgomery, O'Leary and Barker (The Journal, June 2, p. 335), should not go unchallenged. The authors have attempted to define a new entity, "nodular vasculitis," and to differentiate it from erythema induratum. Because the authors are eminent, there is danger that their conclusions will be accepted and that an ill defined entity will enter the medical nomenclature to confuse all physicians who are not dermatologists.In the differential diagnosis between "nodular vasculitis" and erythema induratum they state that the nodules tend to be more painful in the former and that erythema induratum tends to occur in younger women. These distinctions are not valid, for the nodules of undoubted erythema induratum may be extremely painful and may occur at any age. After analyzing their paper, one must assume that they have really only one point of differentiation between "nodular

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