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Pityriasis Lichenoides et Varioliformis Acuta (Mucha-Haberman); Toxic Vasculitis. Presented by Dr. William R. Hill.
An Italian boy, aged 13, is presented with a polymorphous eruption on the trunk and extremities. This consists of pityriasis-like macular papules, lichenoid papules, umbilicated papules, and hemorrhagic macular papules. The onset was sudden, and new lesions continued to appear for 15 days. Biopsy showed a toxic vasculitis.
Treatment has consisted of generalized ultraviolet light therapy.
Dr. Maurice M. Tolman: I agree with the diagnosis, except for the use of the phrase "toxic vasculitis" in association with this case. I will not enter into debate as to what pathology may show with regard to vasculitis, but until it is proved that this is a basic generalized toxic vasculitis, rather than a local situation, the term "toxic vasculitis" applied here is misleading and dangerous, and also frightening to the patients.
We had a patient, the son
Hollander AL, Tilley RF. NEW ENGLAND DERMATOLOGICAL SOCIETY. Arch Dermatol. 1963;88(3):351–357. doi:10.1001/archderm.1963.01590210109018
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