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Dermatopathology: Practical & Conceptual July - September 2005
>
4. Understanding livedo vasculitis: Part I—A glossary, in historical perspective, of terms related to "livedo" and "livedo vasculitis"
K. C. Nischal, M.D.
Almut Böer, M.D.
Introduction
1860: livedo
1860: livedo reticularis
1907: livedo racemosa
1929: atrophie blanche
1936:
capillarite télangiectasique et atrophiante
1937:
capillarites sclérosantes et atrophiantes
1953: capillaritis alba
1955: livedo reticularis with summer ulceration
1956: livedo reticularis with ulcerations
1957: atrophia alba
1965: Sneddon syndrome
1966: periodic painful ulcers of lower extremities
1967: livedo vasculitis
1967: segmental hyalinizing vasculitis
1974: livedoid vasculitis
1974: livedo reticulosis
1974: vasculitis of atrophie blanche
1983: PURPLE (painful purpuric ulcers with reticular patterning on the lower extremities)
1992: livedo vasculopathy
1998: livedoid vasculopathy
Suggestion for terminology
I. Useful terms
II. Confusing terms—to be avoided
III. Antiquated terms—not to be used any more
Selected quotes
References
SEE ALSO
-
livedo racemosa
-
livedo reticularis
-
livedo vasculitis
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1936:
capillarite télangiectasique et atrophiante
Gougerot et al., in 1936, told of a young woman who presented herself with reticulate and bizarre-shaped erythematous macules, telangiectases, and atrophic white patches. [
14
] Histopathologically, the authors observed what they described as "evidence of vasculitis and also thrombosis." The authors called the condition of their patient "capillarite télangiectasique et atrophiante" but they used atrophie blanche as a synonym. Milian commented on this patient that she really had what he had called "atrophie blanche" and he emphasized that in this condition, the scarring developed consequent to thrombosis and not following injury from the outside. He thought that the scarring preceded ulceration and not ulceration the scarring. The description of features clinical and histopathologic by Gougerot and coworkers is very similar to what, more recently, was described as being typical of livedo vasculitis
(see also
livedo vasculitis).
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