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March 1940


Arch Derm Syphilol. 1940;41(3):515-520. doi:10.1001/archderm.1940.01490090067007

Cutaneous manifestations of rheumatic genesis have been known for many years. They have been brought to attention especially by internists and pediatricians, who have reported on the various ways in which the skin reacts to the infection of rheumatism and to the defense against it. In the field of dermatology only Keil1 has during the last year directed due attention to the relation between the skin and internal medicine. Dermatologic textbooks mention, in discussion of erythema multiforme, erythema nodosum, formations of cutaneous and subcutaneous nodules and purpura, the possibility of a rheumatic genesis and the fact that in rheumatism the Libman-Sachs syndrome may occur in addition to the aforementioned dermatoses. But there is an almost complete absence of a closer differentiation of the most important group, that of erythemas. Keil classified rheumatic erythema as (1) the simple papular form and (2) the ringed form, of which there are two