This paper records, for the first time in this country, a case of a distinctive necrotizing skin eruption caused by occlusion of small vessels in the skin and subcutis. One of us (J. T. I.) had seen a moulage of similarly affected skin from the patient described by Dégos (1942), as well as a male patient with this disease presented by Professor Miescher in Zurich, in April, 1946.
Köhlmeier (1940, 1941) seems to have been the first to describe the disease. His patient, a man of 22, presented small necrotic lesions in the skin and died from similar lesions affecting the bowel. Köhl meier held that the causative condition was a form of thromboangiitis obliterans affecting small vessels. He was able to describe a second patient, with characteristic thromboangiitis obliterans in the legs of eight years' duration, who died with similar intestinal necroses.
INGRAM JT, SUTHERLAND TW. Multiple Skin Necroses (Arteriolar). AMA Arch Derm. 1957;75(6):820–825. doi:10.1001/archderm.1957.01550180034009
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