Abstract

Studies of inflammatory diseases of the small blood vessels in the skin have consistently pointed to some general toxic agent as the underlying factor. We recently observed a case of purpura annularis telangiectodes associated with a general infection in which the patient died and an autopsy was performed. The opportunity of correlating the pathologic changes in the other organs with those of the skin prompted the report of this case. REPORT OF CASE History.— A man, aged 59, married, born in Russia, was admitted to the Beth Israel Hospital on Nov. 7, 1932, with a complaint of severe pain in the back, vomiting and drowsiness. His family history was irrelevant, and inquiries as to his past illnesses revealed that he had been suffering from diabetes for the past eight years. The pain in his back began four months prior to his admission to the hospital. It radiated down to the

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