Diagnosis: Telangiectasia Macularis Eruptiva Perstans. Presented by Dr. Irving D. Ehrenfeld and Dr. Julius H. Pollock.
A 55-year-old white woman was seen one month ago for an eruption on the palms, chest, and face, which started about two years before. The patient has diabetes, and has been treated with Orinase (one tablet daily for about two years). She also has left ventricular enlargement, and a cardiac contour suggestive of old mitral disease.The present condition began on the palms about two years ago, then appeared on the chest, and most recently, on the face (four months ago). There are no subjective symptoms, but the patient is concerned because of the cosmetic effect. The lesions seem to come in crops at various times.On the palms, chest, back, and face there are numerous, irregularly spaced, erythematous ma-ules, of varying sizes (pinhead to bean) and shapes. They disappear completely on diascopic pressure.
Hyman AB, Silver H, Leider M. BRONX DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1960;81(1):128–134. doi:10.1001/archderm.1960.03730010132017
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