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September 1930


Arch Derm Syphilol. 1930;22(3):423-429. doi:10.1001/archderm.1930.01440150049007

Under the title "Symmetrical Congestive Mottling of the Skin," Cavafy1 in 1883 reported two cases in which there was a peculiar symmetrical, blotchy, noninflammatory, dull red mottling of the skin of the extremities without atrophy or abnormal sensation. The sharply circumscribed redness disappeared completely on pressure, leaving behind in the most congested spots a delicate, fawn-colored pigmentation. The condition was looked on as due to venous stasis or passive congestion. Edema and varicosities of the veins were conspicuous by their absence. The following year, Pick2 described a similar case under the name "erythromelie" or "redness of the extremities." Besides the "symmetrical appearance and restriction to the extremities with the tendency to spreading from the periphery," there was also noted a certain prominence of the veins. Two additional observations were recorded by this writer in 1900 when Klingmüller added his two cases to the literature. In Pick's last two

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