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Mucha-Habermann Disease: Parapsoriasis or Allergic Vasculitis? Report of a Case

Mucha-Habermann Disease: Parapsoriasis or Allergic Vasculitis? Report of a Case Abstract The classical morphologists of the past considered Mucha-Habermann disease (pityriasis lichenoides et varoliformis acuta) as being one of the major types of parapsoriasis. This classification has recently been challenged. Szymanski1 has advocated removing Mucha-Habermann disease from the parapsoriasis group. He concluded from his histologic studies that it is essentially a vasculitis. Kruger and Weise2 consider it an allergic vasculitis with great histologic similarities to vasculitis allergica cutis (Ruiter). Others3,4 also have been agreeable to this removal. A feeling that this new concept may not be entirely correct was expressed by Lorincz5 who called attention to the occasional case of pityriasis lichenoides et varioliformis acuta which gradually evolves into guttate parapsoriasis. This problem has held our interest because we have been following for the past several years a patient whose Mucha-Habermann disease changed first into guttate parapsoriasis and then evolved into parapsoriasis en plaque. The following case References 1. Szymanski, F. J.: Pityriasis Lichenoides et Varioliformis Acuta: Histopathologic Evidence That It Is an Entity Distinct from Parapsoriasis , A.M.A. Arch. Derm. , 79:7, 1959.Crossref 2. Kruger, H., and Weise, H. J.: Clinical and Histologic Relations of Allergic Vasculitis to Certain Members of the Parapsoriasis Group , Acta Allerg. (Kbh.) 14:356, 1959.Crossref 3. Hyman, A. B., in discussion on Pollock, J. H.: Pityriasis Lichenoides et Varioliformis Acuta? Rickettsial Pox? Arch. Derm. 83:1029, 1961. 4. Graham, J. H., in discussion on Hambrick, G. W., Jr.; Lehman, J., and Shehadah, M.: Pityriasis Lichenoides Chronica of Juliusberg (Lichen Planus) , Arch. Derm. 83:1058, 1961.Crossref 5. Lorincz, A. L., in discussion on Falk, A.; Bielinski, S., and Fox, J.: Pityriasis Lichenoides et Varioliformis Acuta in a 13-Year-Old Boy , Arch. Derm. 83:1035, 1961. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Mucha-Habermann Disease: Parapsoriasis or Allergic Vasculitis? Report of a Case

COHEN, HARVEY J.; FRANK, SAMUEL B.
Archives of Dermatology , Volume 86 (5) – Nov 1, 1962
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Publisher
American Medical Association
Copyright
Copyright © 1962 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1962.01590110107017
Publisher site
See Article on Publisher Site

Abstract

Abstract The classical morphologists of the past considered Mucha-Habermann disease (pityriasis lichenoides et varoliformis acuta) as being one of the major types of parapsoriasis. This classification has recently been challenged. Szymanski1 has advocated removing Mucha-Habermann disease from the parapsoriasis group. He concluded from his histologic studies that it is essentially a vasculitis. Kruger and Weise2 consider it an allergic vasculitis with great histologic similarities to vasculitis allergica cutis (Ruiter). Others3,4 also have been agreeable to this removal. A feeling that this new concept may not be entirely correct was expressed by Lorincz5 who called attention to the occasional case of pityriasis lichenoides et varioliformis acuta which gradually evolves into guttate parapsoriasis. This problem has held our interest because we have been following for the past several years a patient whose Mucha-Habermann disease changed first into guttate parapsoriasis and then evolved into parapsoriasis en plaque. The following case References 1. Szymanski, F. J.: Pityriasis Lichenoides et Varioliformis Acuta: Histopathologic Evidence That It Is an Entity Distinct from Parapsoriasis , A.M.A. Arch. Derm. , 79:7, 1959.Crossref 2. Kruger, H., and Weise, H. J.: Clinical and Histologic Relations of Allergic Vasculitis to Certain Members of the Parapsoriasis Group , Acta Allerg. (Kbh.) 14:356, 1959.Crossref 3. Hyman, A. B., in discussion on Pollock, J. H.: Pityriasis Lichenoides et Varioliformis Acuta? Rickettsial Pox? Arch. Derm. 83:1029, 1961. 4. Graham, J. H., in discussion on Hambrick, G. W., Jr.; Lehman, J., and Shehadah, M.: Pityriasis Lichenoides Chronica of Juliusberg (Lichen Planus) , Arch. Derm. 83:1058, 1961.Crossref 5. Lorincz, A. L., in discussion on Falk, A.; Bielinski, S., and Fox, J.: Pityriasis Lichenoides et Varioliformis Acuta in a 13-Year-Old Boy , Arch. Derm. 83:1035, 1961.

Journal

Archives of Dermatology – American Medical Association

Published: Nov 1, 1962

References

  • Pityriasis Lichenoides et Varioliformis Acuta: Histopathologic Evidence That It Is an Entity Distinct from Parapsoriasis
    Szymanski , F. J.
  • Clinical and Histologic Relations of Allergic Vasculitis to Certain Members of the Parapsoriasis Group
    Kruger , H., and Weise, H. J.
  • Pityriasis Lichenoides et Varioliformis Acuta? Rickettsial Pox?
    Hyman , A. B., in discussion on Pollock, J. H.
  • Pityriasis Lichenoides Chronica of Juliusberg (Lichen Planus)
    Graham , J. H., in discussion on Hambrick, G. W., Jr.; Lehman, J., and Shehadah, M.
  • Pityriasis Lichenoides et Varioliformis Acuta in a 13-Year-Old Boy
    Lorincz , A. L., in discussion on Falk, A.; Bielinski, S., and Fox, J.