Diagnosis: Summer Livedo Reticularis and Contact Dermatitis from Ointment Bases. Presented by Dr. J. Lowry Miller.
The Vanderbilt Clinic-Presbyterian Hospital
American woman of Italian parentage, aged 46
Recurrent eruption on the feet and ankles for 20 years
About 20 years ago, the patient first noted red patches on the dorsa of the feet and ankles. This eruption recurred each summer and cleared in the fall and winter. During the past 2 summers, she has also developed painful ulcers. These ulcers did not heal this past winter; on her initial clinic visit in January, she stated she had been applying a "sulfa" ointment to these ulcers for several months. She was advised to discontinue this, and she was admitted to Presbyterian Hospital. Compresses, Neosporin,* and boric ointments were applied, but the condition became worse and she became febrile. Patch tests were applied in close proximity to the
Kesten B, Canizares O. NEW YORK ACADEMY OF MEDICINE, SECTION ON DERMATOLOGY AND SYPHILOLOGY. Arch Dermatol. 1962;85(2):293–296. doi:10.1001/archderm.1962.01590020133024
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