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February 1964


Arch Dermatol. 1964;89(2):293-296. doi:10.1001/archderm.1964.01590260131026

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Purpura Hyperglobulinemica Waldenström (Waldenström's Second Disease)? Presented by Willard L. Marmelzat, MD 

History.—  A 63-year-old white male first noted an eruption on the legs in January. The eruption was confined to this area. He consulted his physician, and elastic stockings were ordered for support. In February there was a gradual spread up the thighs and inguinal region. In recent weeks it has rapidly spread over the buttocks to the abdomen and lower chest. The patient states that the eruption is less prominent and has faded in the mornings and worsens as the day continues, being most pronounced at the end of the day. My observations of the patient confirm this history. Moderate xeroderma was present.

Past History.—  There were no previous dermatologic problems. Ten years ago the patient was operated upon for a spontaneous massive hemorrhage which was due to a ruptured blood vesselApril 23, 1963 secondary to sigmoid

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