Allergic Cutaneous Vasculitis. Presented by Detroit Receiving Hospital.
A Negro woman 58 years of age began to develop nonpruritic red spots on her legs five months ago. There was no history of preceding infections or fevers; there was, however, a complaint of vague leg pains of indefinite duration. Drug intake consisted of occasional epsom salts, cream of tartar, and herb "tea." General physical examination is not contributory. Cutaneous examination reveals pinhead- to pea-sized slightly elevated, brightly erythematous papules on the legs and lower thighs. These are not obliterated by diascopic pressure. On the dorsum of the feet are excoriated, lichenoid papules and sparse, scattered vesicles, and bullae may be found on the lower legs.
Laboratory findings were as follows: WBC 7,400, Hgb. 13.3 gm., ESR 45 mm. in one hour; urinalysis, sugar negative; albumin trace; microscopic, a few RBC's and WBC's and epithelial cells and bacteria seen.
Sexton GB, Palmer AE, Burns RE. DETROIT DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1959;80(1):115–119. doi:10.1001/archderm.1959.01560190117024
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