To the Editor.—
Understandably, we were very interested in the article on capillary aneurysms by Marc Allen Weiner, MD.1 However, to keep the record straight, we must point out that his three cases differed from the eight that we reported.2,3 In our patients, the lesions were of short duration. Basically, they occurred on the exposed portions of the body. They were not preceded by preexisting lesions. The lesions were asymptomatic. They arose on normal skin without a surrounding erythematous halo. Histologically, only one capillary was involved so that only a single dilated vessel was seen in the section. Multiple enlarged vascular channels usually indicate a tortuous varix. On clinical examination there was no suggestion of a vascular lesion—the vessel involvement being too minute. Weiner's photograph showed a bluish, rather than a black, lesion although the reproduction might have been at fault.The above is not written in a
Epstein E, Novy FG, Allington HV. CAPILLARY ANEURYSMS. Arch Dermatol. 1966;94(3):386. doi:10.1001/archderm.1966.01600270136036
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