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Acne Urticata Polycythemica: Report of a Case

Acne Urticata Polycythemica: Report of a Case Abstract The cutaneous manifestations most frequently associated with polycythemia vera are a purplish-red discoloration of the skin and mucous membranes and ecchymoses particularly over the lower extremities. Both of these manifestations are readily understandable on the basis of the increase in total red cell volume characteristic of this disease. In addition to these commoner cutaneous manifestations, acne urticata has been described in association with polycythemia vera more frequently than any other eruption. The term acne urticata was first used by Kaposi1 to designate a chronic, severely pruritic eruption characterized by the development of pale red elevated wheal-like papules, ranging from the size of a pea to that of a small coin, surmounted by a vesicle with turbid contents. The vesicle or pustule is rapidly excoriated, and the surface of the papule becomes crusted. Involution occurs, with the formation of a delicate scar and hyperpigmentation. The eruption References 1. Kaposi, M.: Über einige ungewöhnliche Formen von Acne (Folliculitis) , Arch. Dermat. u. Syph. 26:87, 1894.Crossref 2. Werther, J.: Pruriginöses Ekzem , Zentrabl. Haut-u. Geschlechtskr. 14:295, 1924. 3. Werther, J.: Pruriginöses Ekzem bei Polycythæmia Vera und Asthma , Deutsche med. Wchnschr. 51:1819, 1925:Crossref 4. Arch. Dermat. u. Syph. 151:359, 1926. 5. Pick, E., and Kaznelson, P.: Über eine eigenartige Dermatose bei Polycythaemia rubra , Dermat. Wchnschr. 80:159, 1925. 6. Mestschanski, J.: Ein Fall von Acne urticata polycythaemica , Dermat. Wchnschr. 85:1350, 1927. 7. Gans, O.: Über spezifische Hautveränderungen bei Erythämie , Arch. path. Anat. 263:565, 1927.Crossref 8. Ullman, K.: Fall von Erythrose mit Hautsymptomen bei Polyglobulie , Wien. klin. Wchnschr. 40:859, 1927. 9. Bohnstedt, R. M.: Über krankhafte Veränderungen der Haut bei Polycythaemia rubra vera , Dermat. Wchnschr. 91:1659, 1930. 10. Weinmann, H.: Ueber Hautveränderungen bei Polycythaemia rubra, Inaug. Dissert., Erlangen, Germany, 1937. 11. Andrews, G. C.: Polycythaemia Vera , Arch. Dermat. & Syph. 37:527, 1937. 12. Weidman, F. D., and Klauder, J. V.: Acne Urticata Polycythaemica , Arch. Dermat. & Syph. 39:645, 1939. 13. Rostenberg, A.: Acne Urticata Polycythaemica , Arch. Dermat. & Syph. 41:807, 1940. 14. Costello, M. J.: Polycythaemia Vera Accompanied by Acne Urticata Polycythaemica and Loss of Directional Power in the Fingers of the Left Hand , Arch. Dermat. & Syph. 48:430, 1943. 15. Strickler, A.: Polycythemia with an Unusual Eruption , Arch. Dermat. & Syph. 52:172, 1945. 16. Bluefarb, S. M.: Cutaneous Manifestations of Polycythemia , Bull. Northwestern Univ. M. School 29:8, 1955. 17. Kato, K.: Comparison Between Histochemical Peroxidase and Alkaline Phosphatase Reactions of Animal Blood Cells: The 26th Report of Histochemical Study of Peroxidase , Okajimas fol. anat. 29:387, 1957. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Dermatology American Medical Association

Acne Urticata Polycythemica: Report of a Case

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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved.
ISSN
0096-5359
DOI
10.1001/archderm.1958.01560090039009
Publisher site
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Abstract

Abstract The cutaneous manifestations most frequently associated with polycythemia vera are a purplish-red discoloration of the skin and mucous membranes and ecchymoses particularly over the lower extremities. Both of these manifestations are readily understandable on the basis of the increase in total red cell volume characteristic of this disease. In addition to these commoner cutaneous manifestations, acne urticata has been described in association with polycythemia vera more frequently than any other eruption. The term acne urticata was first used by Kaposi1 to designate a chronic, severely pruritic eruption characterized by the development of pale red elevated wheal-like papules, ranging from the size of a pea to that of a small coin, surmounted by a vesicle with turbid contents. The vesicle or pustule is rapidly excoriated, and the surface of the papule becomes crusted. Involution occurs, with the formation of a delicate scar and hyperpigmentation. The eruption References 1. Kaposi, M.: Über einige ungewöhnliche Formen von Acne (Folliculitis) , Arch. Dermat. u. Syph. 26:87, 1894.Crossref 2. Werther, J.: Pruriginöses Ekzem , Zentrabl. Haut-u. Geschlechtskr. 14:295, 1924. 3. Werther, J.: Pruriginöses Ekzem bei Polycythæmia Vera und Asthma , Deutsche med. Wchnschr. 51:1819, 1925:Crossref 4. Arch. Dermat. u. Syph. 151:359, 1926. 5. Pick, E., and Kaznelson, P.: Über eine eigenartige Dermatose bei Polycythaemia rubra , Dermat. Wchnschr. 80:159, 1925. 6. Mestschanski, J.: Ein Fall von Acne urticata polycythaemica , Dermat. Wchnschr. 85:1350, 1927. 7. Gans, O.: Über spezifische Hautveränderungen bei Erythämie , Arch. path. Anat. 263:565, 1927.Crossref 8. Ullman, K.: Fall von Erythrose mit Hautsymptomen bei Polyglobulie , Wien. klin. Wchnschr. 40:859, 1927. 9. Bohnstedt, R. M.: Über krankhafte Veränderungen der Haut bei Polycythaemia rubra vera , Dermat. Wchnschr. 91:1659, 1930. 10. Weinmann, H.: Ueber Hautveränderungen bei Polycythaemia rubra, Inaug. Dissert., Erlangen, Germany, 1937. 11. Andrews, G. C.: Polycythaemia Vera , Arch. Dermat. & Syph. 37:527, 1937. 12. Weidman, F. D., and Klauder, J. V.: Acne Urticata Polycythaemica , Arch. Dermat. & Syph. 39:645, 1939. 13. Rostenberg, A.: Acne Urticata Polycythaemica , Arch. Dermat. & Syph. 41:807, 1940. 14. Costello, M. J.: Polycythaemia Vera Accompanied by Acne Urticata Polycythaemica and Loss of Directional Power in the Fingers of the Left Hand , Arch. Dermat. & Syph. 48:430, 1943. 15. Strickler, A.: Polycythemia with an Unusual Eruption , Arch. Dermat. & Syph. 52:172, 1945. 16. Bluefarb, S. M.: Cutaneous Manifestations of Polycythemia , Bull. Northwestern Univ. M. School 29:8, 1955. 17. Kato, K.: Comparison Between Histochemical Peroxidase and Alkaline Phosphatase Reactions of Animal Blood Cells: The 26th Report of Histochemical Study of Peroxidase , Okajimas fol. anat. 29:387, 1957.

Journal

A.M.A. Archives of Dermatology – American Medical Association

Published: Sep 1, 1958

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