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Schamberg's Disease. Presented by Dr. Frank C. Combes.
A woman aged 43 has had a pigmented macular eruption of both legs for 20 years. In 1936 she collapsed while dancing because of pain in her right ankle. At that time a purpuric eruption was first noticed. Ligation of varicose veins was performed, but one week postoperatively the eruption about the ankles recurred. Elastic stockings and elastic bandages were recommended. New lesions continued to appear on the legs and thighs, and are now seen on the abdomen and forearms as well. Five years ago slow-healing, small, exquisitely painful ulcers began to appear about the ankles.
There is a confluent purpuric eruption on both ankles and the dorsa of the feet, with small ulcers covered by sanguineous crusts about the ankles. On the legs and thighs there are purpuric reticulated areas with numerous petechiae. Petechiae are also present on
Machacek GF, Miller JL. NEW YORK DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1957;75(4):610–612. doi:10.1001/archderm.1957.01550160136026
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