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LupusCarcinoma. Presented by Dr.Udo J. Wile.
N. S., aged 71, a laborer, stated that the lesion began in a fight fifty years before presentation, when a Negro bit off the end of his nose. Since then the eruption had flared up each winter and subsided in the summer. About one year before presentation, following trauma, nodules formed in both cheeks, followed by fungating and ulcerating lesions over the cheeks.
Examination showed a granuloma spreading peripherally over the face, with the greatest activity at the borders, and distinct central scarring. The distal half of the nose was destroyed, leaving only a hole where the nares should be. Diascopy revealed some brownish nodules in the border. The right cheek was involved with an orange-sized, fungating tumor, which had invaded the orbit and was firmly fixed to the underlying structures. It bled easily on manipulation. The left cheek presented an ulcer
Ebert MH. CHICAGO DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1931;24(3):508–527. doi:10.1001/archderm.1931.01450010517020