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Abstract • Bullae arose in two patients with scleroderma and in one patient with a similar condition, eosinophilic fasciitis. Biopsy specimens from two of the patients demonstrated prominent dermal lymphatic dilation. We hypothesize that these lesions occurred after the development of lymphatic obstruction secondary to dermal sclerosis. (Arch Dermatol 1981;117:135-137) References 1. Fitzpatrick TB, Eisen AZ, Wolff K, et al (eds): Dermatology in General Medicine . New York, McGraw-Hill Book Co, 1979. 2. Rowell MR: Lupus erythematosus, scleroderma and dermatomyositis in Rook A, Wilkinson DS, Ebling FJG (eds): Textbook of Dermatology . Oxford, England, Blackwell Scientific Publications, 1979, pp 1198-1228. 3. Moscella SL, Pillsbury DM, Hurley HJ (eds): Dermatology . Philadelphia, WB Saunders Co, 1975. 4. Lever ML, Schaumburg-Lever G: Histopathology of the Skin . Philadelphia, JB Lippincott Co, 1975. 5. Garb J, Sims CF: Scleroderma with bullous lesions . Dermatologica 1959;119:341-359.Crossref 6. Templeton HT: Localized scleroderma with bullae . Arch Dermatol 1941;43:361-365.Crossref 7. Tuffanelli DL: Lymphangiectasis due to scleroderma . Arch Dermatol 1975;111:1216.Crossref
Archives of Dermatology – American Medical Association
Published: Mar 1, 1981
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