The picture of poikiloderma as it was originally outlined by Jacobi1 and the question as to whether or not it should be considered a disease sui generis are still the subjects of much discussion. This is particularly true in view of the cases in which poikiloderma-like symptoms have been reported as part of the elements of various chronic inflammatory dermatoses. However, it seems certain that poikilodermal symptoms need not necessarily develop into some other disease and may continue to be present in the form of poikiloderma atrophicans vasculare (Jacobi) or poikiloderma of Civatte2 for many years. Whether the Jacobi type represents the chronically developing form of poikilodermatomyositis, as was first reported by Petges and Cléjat3 or whether the myositic changes are the characteristics of still another independent type is as yet undecided. Only with regard to dermatomyositis and generalized progressive scleroderma do investigations by
DOSTROVSKY A, SAGHER F. POIKILODERMA AS THE INITIAL STAGE OF MYCOSIS FUNGOIDES. Arch Derm Syphilol. 1945;51(3):182–188. doi:10.1001/archderm.1945.01510210024005
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