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September 1940


Author Affiliations


From the Department of Dermatology and Syphilology, New York University College of Medicine, and the Department of Dermatology and Syphilology, Third Medical (New York University) Division, Bellevue Hospital, service of Dr. Edward R. Maloney.

Arch Derm Syphilol. 1940;42(3):441-446. doi:10.1001/archderm.1940.01490150045007

The nosologic position of erythema elevatum diutinum (persistent elevated erythema) is still uncertain. Over ten years ago Weidman and Besancon1 made an admirable attempt to prove its identity, isolating an organism (Streptococcus ignavus) and divorcing the condition from granuloma annulare and the erythema multiforme perstans group of cutaneous diseases. Crocker and Williams,2 Trimble3 and Gray4 also considered it a separate entity. Trimble and Weidman and Besancon felt sympathetic to the hypothesis that the so-called Bury type and granuloma annulare were the same but nevertheless recognized the Hutchinson type as existing separate and distinct from granuloma annulare.

We agree with Weidman and Besancon that the sparsity of cases appearing in the literature has made it impossible to collect sufficient data to determine the clinical and histologic requisites for diagnosis of this rare disease.

The patient on whom this report is based was admitted to Bellevue Hospital in