In 1951, Randall, Kierland, and Montgomery1 reviewed 92 cases of pigmented purpuric eruptions. They felt that angioma serpiginosum of Hutchinson and Crocker, Shamberg's disease, and the pigmented purpuric lichenoid dermatitis of Gougerot and Blum were either closely related or different stages of a single entity. Doucas and Kapetanakis2 recently described an ``eczematid-like'' purpuric dermatosis which they felt could be distinguished from the classical purpuric eruptions. They described a disease of acute onset that was relatively asymptomatic, occurring in both men and women, lasting from several months to two years, and subsiding spontaneously. The significant laboratory findings of these workers were the presence of low platelet counts and positive Rumple-Leede tests in the majority of their patients.
One of the common denominators of the purpuric dermatoses is their lack of symptoms. Possibly because of the paucity of complaints, there has been little stimulus for effective treatment. However, in 1954,
FREEDMAN R, HIRSCH P, BECKER SW. Treatment of Two Cases of Itching Purpura. Arch Dermatol. 1963;87(6):740–742. doi:10.1001/archderm.1963.01590180068014
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