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NEW ENGLAND DERMATOLOGICAL SOCIETY

NEW ENGLAND DERMATOLOGICAL SOCIETY This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Pityriasis Lichenoides et Varioliformis Acuta (Mucha-Haberman); Toxic Vasculitis. Presented by Dr. William R. Hill. An Italian boy, aged 13, is presented with a polymorphous eruption on the trunk and extremities. This consists of pityriasis-like macular papules, lichenoid papules, umbilicated papules, and hemorrhagic macular papules. The onset was sudden, and new lesions continued to appear for 15 days. Biopsy showed a toxic vasculitis. Treatment has consisted of generalized ultraviolet light therapy. Discussion Dr. Maurice M. Tolman: I agree with the diagnosis, except for the use of the phrase "toxic vasculitis" in association with this case. I will not enter into debate as to what pathology may show with regard to vasculitis, but until it is proved that this is a basic generalized toxic vasculitis, rather than a local situation, the term "toxic vasculitis" applied here is misleading and dangerous, and also frightening to the patients. We had a patient, the son http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

NEW ENGLAND DERMATOLOGICAL SOCIETY

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Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1963.01590210109018
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Pityriasis Lichenoides et Varioliformis Acuta (Mucha-Haberman); Toxic Vasculitis. Presented by Dr. William R. Hill. An Italian boy, aged 13, is presented with a polymorphous eruption on the trunk and extremities. This consists of pityriasis-like macular papules, lichenoid papules, umbilicated papules, and hemorrhagic macular papules. The onset was sudden, and new lesions continued to appear for 15 days. Biopsy showed a toxic vasculitis. Treatment has consisted of generalized ultraviolet light therapy. Discussion Dr. Maurice M. Tolman: I agree with the diagnosis, except for the use of the phrase "toxic vasculitis" in association with this case. I will not enter into debate as to what pathology may show with regard to vasculitis, but until it is proved that this is a basic generalized toxic vasculitis, rather than a local situation, the term "toxic vasculitis" applied here is misleading and dangerous, and also frightening to the patients. We had a patient, the son

Journal

Archives of DermatologyAmerican Medical Association

Published: Sep 1, 1963

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