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Purpuric Pigmented Lichenoid Dermatitis of Gougerot and Blum. Presented by Dr. Donald M. Pillsbury and Dr. Leslie Nicholas (by invitation).
J. V. M., a white woman aged 55, has had a painless swelling of the right parotid gland for several years. The skin generally is rather thin and dry. On all aspects of each thigh, leg and ankle and on the ulnar aspect of each elbow and forearm there are numerous tiny, smooth, slightly elevated, sepia-brown papules. These vary in diameter from 0.5 to 2 mm. and tend to become confluent and form plaques. Scattered freely between them are numerous purpuric macules. There are several rather large depigmented areas, and in many places the skin is atrophic and wrinkled. None of the lesions change in color with diascopic pressure.The eruption appeared eight years ago around each ankle and gradually spread to involve all aspects of both legs and thighs.
Pillsbury DM, Decker DA. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1943;47(4):589–593. doi:10.1001/archderm.1943.01500220127014
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