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Poikiloderma Vasculare Atrophicans (Jacobi). Presented by Dr. Paul Gross.
J. R., a man aged 39, has had a generalized eruption for the past three years, which began after an intensive exposure to sunlight. He has received various topical applications and injections but was never treated with roentgen rays. His general condition is good. He complains of dryness of the skin and a burning sensation in the cutaneous lesions.The extensive eruption involves the trunk, arms and thighs and is made up of two types of lesions. The more recent lesions are yellowish pink, oval plaques, the size of half a dollar and covered with fine dry scales. The more advanced lesions are the size of a palm and larger, are dark red or cyanotic and consist of telangiectasia, mottled pigmentation and depigmentation. There are slight erythema and moderate scaling in these patches. The skin of the larger plaques shows wrinkling.
Sulzberger MB, Silver H. BRONX DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1940;42(1):214–224. doi:10.1001/archderm.1940.01490130218025
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