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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
Archives of Dermatology – American Medical Association
Published: Sep 1, 1963
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