Pigmented Purpuric Dermatoses

A Case of Quadrantic Capillaropathy

“…The positive Hess test in all four limbs in our patient provided evidence of a generalised capillaropathy, but additional factors must have been responsible for the striking distribution. Farrokhzad and Champion [6] reported a positive Hess lest in 14 of 18 patients with Schamberg's disease, and the same has been reported in the related disorder lichen aureus |7. 8].…”

A pigmented lesion in a 30-year-old man

“…Lichen aureus lies within the spectrum of diseases termed the pigmented purpuric dermatoses, 1,2 a group of chronic diseases of mostly unknown aetiology that have a distinctive clinical appearance. They are characterized by extravasation of erythrocytes in the skin with marked haemosiderin deposition.…”

Lichen aureus

“…Der Lichen aureus wird heute zur Gruppe der unter dem Begriff Purpura pig mentosa progressiva (Kalkoff) zusammenge fassten Purpuraformen, einschliesslich der Dermatite lichenoide purpurique et pig-mentee (Gougerot-Blum), der klinischen Varianten von Morbus Schamberg, Purpura anularis teleangiectodes atrophicans (Ma jocchi), Purpura telangiectasique arciforme (Touraine) und der Eczematid-like Purpura (Doucas-Kapetanakis), gerechnet [8,9] …”