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A Case for Diagnosis (Purpura Annularis Telangiectodes?). Presented by Dr. Sigmund S. Greenbaum.
M. C., a white woman aged 42, states that five years ago small red puncta developed on the ankles and increased in size to about 1 cm. At that time she also noticed a brownish discoloration of the legs extending from the knees down and small ulcers on her feet. She was treated by a private physician, and the ulcers healed. Pigmentation and telangiectasia remained. Two years later ulcers reappeared and were healed by the same physician. The present attack is her third. Four weeks ago the patient noticed swelling and redness on the right internal malleolus. The condition spread, and ulcers appeared. The skin of the lower extremities is smooth, shiny, thin and somewhat livid. There are brownish ill defined areas of pigmentation on the lower third of each lower extremity. Telangiectasia is prominent, and there
Knowles FC, Butterworth T. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1939;39(2):379–384. doi:10.1001/archderm.1939.01480200186022
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