The designation "atrophia alba" was used by Schuppener, in 1957, as a synonym for atrophie blanche Milian in an article published in German. [18] 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 (Figs. 4A–B). The author also took note of livedo racemosa (see also 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 (see also livedo vasculitis).