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October 1966


Author Affiliations

USN Woodbury, NJ

Arch Dermatol. 1966;94(4):527-528. doi:10.1001/archderm.1966.01600280145027

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To the Editor.—  In the June issue of the Archives (93:670-673, 1966), Weiner describes three cases of "Capillary Aneurysms of the Skin," a term first used by Epstein et al (Calif Med85:22 [July] 1956 and Arch Derm91:355 [April] 1965). The clinical and histologic pictures are strikingly similar to those of cases I reported in the March issue of the Archives (93:358-361, 1966) under the title "Thrombosed Angiokeratoma Simulating Malignant Melanoma."I submit that what Dr. Weiner and I have reported are the same entity. Epstein et al described lesions that appeared on sun-exposed areas and histologically consisted of a single dilated capillary high in the dermis. In Weiner's cases, as in mine, the lesions appeared on unexposed areas. Although he describes the histology as "thrombotic dilated capillaries lying just below the epidermis," he shows a photomicrograph of an angiomatous lesion with multiple dilated vessels

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