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Capillary Alterations in Pigmented Purpuric Disease of the Skin

Capillary Alterations in Pigmented Purpuric Disease of the Skin Abstract Of the numerous diseases with purpuric manifestations, pigmented purpuric disease of the skin is of particular interest to the dermatologist, since there are usually no associated hematologic defects and arterial or venous insufficiency does not appear to be related to the eruption. There are three described entities which can be grouped together as pigmented purpuric disease because of their many similarities.1 This group includes purpura annularis telangiectodes (Majocchi), peculiar progressive pigmentary disease (Schamberg), and pigmented purpuric lichenoid dermatitis (Gougerot and Blum). All three have in common the appearance of minute red puncta in the skin as the primary lesion. In addition, they are characterized by their usual location on the lower extremities and the occurrence of purpura and hemosiderin deposition in the skin. The criteria by which pigmented purpuric disease is subdivided consist of differences in the clinical appearance that can be regarded References 1. Randall, S. J.; Kierland, R. R., and Montgomery, H.: Pigmented Purpuric Eruptions , A. M. A. Arch. Dermat. & Syph. 64:177-191 ( (Aug.) ) 1951. 2. Davis, M. J., and Lorincz, A. L.: An Improved Technique for Capillary Microscopy of the Skin , J. Invest. Dermat. 28:283 ( (April) ) 1957. 3. Gottron, H.: Purpura Majocchii , Arch. Dermat. u. Syph. 159:355-467, 1930. 4. Wiener, K.: Skin Manifestations of Internal Disorders , St. Louis, The C. V. Mosby Company, 1947. 5. Knisely, M. H.; Bloch, E. H.; Eliot, T. S., and Warner, L.: Sludged Blood , Science 106:431-440 ( (Nov. 7) ) 1947. 6. Fainshtein, F. E.: The Significance of the Vascular Factor in the Mechanism of the Development of Hemorrhage in Aplastic and Hypoplastic Anaemia , Probl. Hermat. 2:106, 1957. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Dermatology American Medical Association

Capillary Alterations in Pigmented Purpuric Disease of the Skin

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved.
ISSN
0096-5359
DOI
10.1001/archderm.1958.01560120043007
Publisher site
See Article on Publisher Site

Abstract

Abstract Of the numerous diseases with purpuric manifestations, pigmented purpuric disease of the skin is of particular interest to the dermatologist, since there are usually no associated hematologic defects and arterial or venous insufficiency does not appear to be related to the eruption. There are three described entities which can be grouped together as pigmented purpuric disease because of their many similarities.1 This group includes purpura annularis telangiectodes (Majocchi), peculiar progressive pigmentary disease (Schamberg), and pigmented purpuric lichenoid dermatitis (Gougerot and Blum). All three have in common the appearance of minute red puncta in the skin as the primary lesion. In addition, they are characterized by their usual location on the lower extremities and the occurrence of purpura and hemosiderin deposition in the skin. The criteria by which pigmented purpuric disease is subdivided consist of differences in the clinical appearance that can be regarded References 1. Randall, S. J.; Kierland, R. R., and Montgomery, H.: Pigmented Purpuric Eruptions , A. M. A. Arch. Dermat. & Syph. 64:177-191 ( (Aug.) ) 1951. 2. Davis, M. J., and Lorincz, A. L.: An Improved Technique for Capillary Microscopy of the Skin , J. Invest. Dermat. 28:283 ( (April) ) 1957. 3. Gottron, H.: Purpura Majocchii , Arch. Dermat. u. Syph. 159:355-467, 1930. 4. Wiener, K.: Skin Manifestations of Internal Disorders , St. Louis, The C. V. Mosby Company, 1947. 5. Knisely, M. H.; Bloch, E. H.; Eliot, T. S., and Warner, L.: Sludged Blood , Science 106:431-440 ( (Nov. 7) ) 1947. 6. Fainshtein, F. E.: The Significance of the Vascular Factor in the Mechanism of the Development of Hemorrhage in Aplastic and Hypoplastic Anaemia , Probl. Hermat. 2:106, 1957.

Journal

A.M.A. Archives of DermatologyAmerican Medical Association

Published: Dec 1, 1958

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