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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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1953: capillaritis alba
The term "capillaritis alba" was used by Ellerbroek, in 1953, as a synonym for "atrophie blanche Milian" when he presented seven patients with the condition at a meeting of the northwest German society of dermatology. [
17
] He questioned whether the disease was a manifestation primarily of varicosis and emphasized that the pain associated with the lesions might be a hint to the essential nature of it, which he thought was "processes at the capillaries." In the discussion of the findings in these patients, Herzberg commented that the finding of fibrin in the walls of vessels encountered in biopsy specimens taken from lesions of those patients favored the interpretation that the condition represented a distinctive disease entity different from changes found in patients with varicosis. The observations by Ellerbroek are very similar to those made by Gougerot [
14
] and Schuppener [
18
]
(see also capillarite télangiectasique et atrophiante,
atrophia alba, and livedo vasculitis).
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