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To the Editor:—
I wish to call attention to a classic case of this syndrome not fully identified in the report by the late Dr. John Eric Dalton entitled Lichen Myxedematosus (Papular Mucinosis) (Arch. Dermat. 83:230-242 [Feb.] 1961).In the body of the paper are many findings which make the diagnosis of malignant papulosis with atrophy for the second case, first presented by Dr. James Engeler before the Chicago Dermatological Society in February, 1952. Figures 3A, 3B, and 4A illustrate the typical annular papular lesions on the trunk with atrophic porcelain-white centers. Figure 4B shows the same resolving type of lesion and an ulcer of the skin of the right forearm. This latter condition of ulceration is never present in lichen myxedematosus. Figure 5A shows the histopathological hallmark for Degos' disease, i.e., a wedge of fibrosis and scarring of the dermis above the involved blood vessel. Finally, the patient died
Binkley GW. MALIGNANT PAPULOSIS WITH ATROPHY (LETHAL CUTANEOUS AND GASTROINTESTINAL THROMBOSIS). Arch Dermatol. 1961;83(6):1017. doi:10.1001/archderm.1961.01580120129038
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