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Bernard Appel, M.D.
JAMA. 1960;172(17):1971. doi:10.1001/jama.1960.03020170097023.
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To the Editor:—  In a report entitled "Argyrosis and Cyanosis—Melanosis and Cyanosis" (A. M. A. Arch. Dermat.80:277 [Sept.] 1959), illustrated in color, Dr. Francesco Ronchese describes two fascinating clinical problems with special reference to the color of the skin. As usual, he documents his communication with a wide-ranging and well-chosen list of references.One woman, in coma, was a "ghastly bluish-gray" from a combination of argyrosis and cyanosis of heart failure. A man had a color which "was really bluish-black"; his fingernails were also "bluishblack" and his urine was "coffee-black."In the addendum Dr. Ronchese discusses color description in general. He commends my exhortation to avoid describing the nodules of lupus vulgaris as the color of apple jelly, but he misinterprets my recommendation for color description. I suggested the use of color names based on the Munsell system. I have (Appel: Arch. Dermat. & Syph.62:370 [Sept.]


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