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Article
April 1951

CUTANEOUS FORM OF POLYARTERITIS NODOSA: Report of a Case

Author Affiliations

CINCINNATI; STOCKHOLM, SWEDEN

From the Department of Dermatology and Syphilology, Karolinska sjukhuset, Stockholm, Sven Hellerström, M.D., professor.

AMA Arch Derm Syphilol. 1951;63(4):461-468. doi:10.1001/archderm.1951.01570040055009
Abstract

KUSSMAUL and Maier1 in 1866 first described the disease which is now called polyarteritis or periarteritis nodosa. The term of periarteritis is an obvious misnomer, for the essential pathologic picture is that of a panarteritis. The disease is a form of inflammatory, necrotizing and obliterative panarteritis of small arteries, arterioles and, occasionally, veins. General, systemic symptoms commonly accompany the disease, but the type and occurrence of regional symptoms depend on the organs involved. The primary macroscopic lesion is a nodule from 2 to 8 mm. in diameter which is of considerable diagnostic significance when the skin is affected.

Alkiewicz2 collected from the literature 36 cases with skin involvement reported to 1933. In 1939 Ketron and Bernstein3 added 23 more to those published by Alkiewicz and found the incidence of cutaneous involvement to be approximately 25 per cent. In 1937 Carol and Prakken4 reported a benign cutaneous form of polyarteritis nodosa in a 19 year old

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