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October 1968


Arch Dermatol. 1968;98(4):428-431. doi:10.1001/archderm.1968.01610160102021

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Vasculitis. Presented by Dr. Leslie Barker 

History.—  The patient, a 50-year-old woman, was first seen Sept 12, 1967, at which time she said she has had recurrent painful lesions on the feet that began in the spring and continued throughout the summer for the past 10 or 12 years. They begin as deep red hot and painful areas that break down and crust or ulcerate and require six to eight weeks for an individual lesion to heal, as others form. There is often an associated swelling, redness, and pain in the feet and ankles. There are no systemic symptoms and medical work-ups by local physician have been normal. There is no history of preceding infection or drug intake. She has one daughter aged 21.

Examination.—  There are multiple patches of violaceous-red atrophy over both feet, ankles, and toes. There are several crusted, healing lesions in the scarred areas. Biopsy from

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