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June 10, 1905


JAMA. 1905;XLIV(23):1856. doi:10.1001/jama.1905.02500500036004

Purpura hemorrhagica appears so generally as an acute affection, and the chronic forms are so seldom mentioned in medical literature, that we are apt to regard them as being exceedingly rare. In the most recent text-books even, the chronic forms are barely mentioned, and for extended descriptions it is necessary to consult articles in medical journals. The recent work of the French school, if we are to judge from the article of Bensaude and Rivet,1 tends to show that the affection is far from being a complete rarity, but has been overlooked or confounded with hemophilia.

The condition is found clinically under two forms, a continuous and an intermittent. The continuous form is the rarer of the two. The subjects of this variety generally consult the physician for general weakness with gastric and intestinal disorders, and the skin lesions are often considered of minor importance, and are discovered as