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August 1960

The Nodular Dermal Allergid: A Type of Allergic Vasculitis

Author Affiliations


From the Dermatology Service, Minneapolis General Hospital, Carl W. Laymon, M.D., Director, and the Division of Dermatology, University of Minnesota, Francis W. Lynch, M.D., Director.

Arch Dermatol. 1960;82(2):163-170. doi:10.1001/archderm.1960.01580020005001

Gougerot, writing with Duperrat (1954),4 stated that for more than 30 years he had studied a particular syndrome characterized by small dermal nodules, erythematopapular elements, and purpura. It was first called "a chronic indeterminate septicemia with endocarditis." Then, as endocarditis was found to be an inconstant feature, it was termed "a chronic indeterminate septicemia with the triple lesions of purpura, erythema multiforme and nodules." The latter term was dropped because the term septicemia was at variance with the negative blood cultures. Hence, it was given a new appellation: "maladie trisymptomatique." Gougerot's co-workers, Bureau and Degos (cited by Gougerot and Duperrat4), however, suggested that it should be called "maladie trisymptomatique de Gougerot" to avoid confusion with the trisyndrome of Milian. Gougerot stated that, with the gradual acceptance of the term allergid, the syndrome has been known finally as "the nodular dermal allergid." Many cases have been added since to

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