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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.
1860: livedo reticularis
1907: livedo racemosa
1929: atrophie blanche
capillarite télangiectasique et atrophiante
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
1957: atrophia alba
The designation "atrophia alba" was used by Schuppener, in 1957, as a synonym for atrophie blanche Milian in an article published in German. [
] He told of his experience with five patients who presented themselves with reticulate purpuric erythema on one or both legs, white atrophic patches, and ulcerations (
). The author also took note of livedo racemosa
livedo racemosa), and acrocyanosis in some of his patients. He emphasized that the condition was very painful when ulcers had occurred and that ulcerations took very long to heal. The description of Schuppener is very similar to what is known today as livedo vasculitis
These pictures were shown in the article by Schuppener about what he called atrophia alba. The lesions are very similar to what was pictured in the article by Feldaker (see Fig 2 A and B). Branched erythematous macules (Fig 4 B) are present together with atrophic lesions and ulcerations. Sometimes, atrophic lesions are confluent to larger zones with a stellate shape (Fig 4 A).
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