The lines of Blaschko describe a linear pattern of distribution of various congenital, nevoid, andacquiredskindisorderswith their suspectedembryological origins not yet well understood. These lines were painstakingly and thoroughly documented first by German dermatologist AlfredBlaschko.Blaschkowas the sonof aphysician andwasborn in 1858 in Freienwalde and died in 1922 in Berlin. He was a private practitioner in Berlin, where his dermatologic interests ranged from dermatitis herpetiformis, leprosy, and, later in his career, occupational skin diseases to social hygiene and venereal diseases. Blaschko studied the distribution of various nevoid disorders, such as epidermal and sebaceous nevi, aswell as acquired disorders, such as linear psoriasis, eczema, lichen planus, lichen simplex chronicus, and scleroderma. He transposed the pattern of these lesions in more than 140 patients onto dolls and statues and eventually produced complete illustrations of his famous lines all over thebody.His findingswere published in 1901 as a supplement to the Proceedings of the German Dermatological Society’smeeting held inBreslau that year. Thepublication included 26 pages of hand drawings, the first 9 of which were illustrations of herpes zoster. Although we now know that zoster follows the distributionof cutaneousdermatomesandnotBlaschko lines, the2distributions were commonly confused at the time. In 1902, Blaschko helped in the founding of the German Society for the Fight against Venereal Diseases alongwith Albert Neisser, a leading expert in venereology and the discoverer of theNeisseria gonorrhoeae bacterium. He served as general secretary for the organization and led efforts to educate the public regarding venereal diseases by distributing pamphlets and leaflets, organizing lectures all over the country, offering seminars for teachers, and lobbying for sex education in classes. After reviewingBlaschko’swritingsduringthis time,RobertJackson,who in 1976 published a detailed review of Blaschko’s seminal findings, suggests hewas perhaps among the first advocates of thewomen’s liberationmovement. For instance, inanaddress in 1903Blaschkoargued that the best form of prophylaxis against venereal disease was improvement of the economic condition of women, which would only be possible in agenuinely freeanddemocratic state. In 1913, he counteredprevious legislative efforts to ban advertising for contraceptives by calling these efforts extremely dangerous, and championed the “recommendationofprophylacticsuntil thewholepopulation is fully informed from the onset of puberty.” Clearly,Blaschko’s legacy isas impressive forhisdiligentworkasadermatologistandeminenteyeforpatternrecognitionasit isforhiscourageous championing of social health reforms at the turn of the 20th century.
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