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September 1927


Arch Derm Syphilol. 1927;16(3):350-360. doi:10.1001/archderm.1927.02380030097012

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Purpura Annularis Telangiectodes (?). Presented by Dr. Wise, for Dr. Harris.  M. R., a man, aged 28, who was born in the Dominican Republic, said that the eruption began eight years before presentation as red patches which gradually spread to implicate most of the skin of the thighs. New patches appeared from time to time, and gradually faded and left brownish spots. Four years before presentation, the Wassermann blood test was negative. The patient did not have any subjective symptoms other than slight itching. Examination showed erythematous and pigmented plaques affecting the skin of a large surface of the lower extremities. Over the trunk there were smaller pigmented plaques, also erythematous and violaceous circular patches. Some of these patches showed distinct atrophy in the center.

DISCUSSION  Dr. Eller: Several of the patches resemble Majocchi's disease, showing purpuric spots, slight atrophy and some telangiectasia; but in one place on the abdomen and

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