To the Editor.—
The Mucha Habermann syndrome is generally an acute process; however, at Boston University, we recently have seen three cases of the "chronic type." Since Syzmanski's1 study made dermatologists regard the syndrome as a "vasculitis" of unknown cause despite an association with the predominantly guttate "epidermal" form of pityriasis lichenoides. Rook et al's2 new text recognizes "varicelliform parapsoriasis" describing an acute and chronic form.A stocky 43-year-old Italo-American was stung by a bee in 1965. Two weeks later he developed a pruritic eruption of the trunk and extremities. Three months later the diagnosis of acute pityriasis lichenoides et varioliformis was made by Dr. Maurice Tolman and confirmed by Dr. Wallace Clarke, who examined three skin biopsies at the Massachusetts General Hospital. Topical remedies offered no relief. Systemic corticosteroids suppressed itching and lesions but failed to alter the course of the disease.Three years later I admitted
CHRONIC VARICELLIFORM PARAPSORIASIS AND HYPERPARATHYROIDISM. Arch Dermatol. 1969;100(1):120. doi:10.1001/archderm.1969.01610250126037
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