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Lupus Erythematosus Resistant to Therapy with a Gold, but Responding to Treatment with a Bismuth, Preparation. Presented by Dr. A. E. Ingels.
This patient was presented at the December meeting of the San Francisco Dermatological Society (Arch. Dermat. & Syph.32:311 [Aug.] 1935). At that time there was some discussion as to whether the condition was syphilis, sarcoid or lupus erythematosus.
Examination of the tissue showed lupus erythematosus disseminatus with features of sarcoid. The histopathologic report is as follows: "Specimens were fixed in dilute solution of formaldehyde U. S. P. (1:10), were stained with hematoxylin and eosin, Van Gieson's stain and Becker's stain. There is a normal amount of keratosis and no parakeratosis. Plugging of the hair follicles is present in a moderate degree. Plugging of sweat ducts is present. The epidermis proper is thinned to only three or four layers of cells in places. The basal cell layer
Graves JM, Taussig LR. SAN FRANCISCO DERMATOLOGICAL ASSOCIATION. Arch Derm Syphilol. 1935;32(6):987–992. doi:10.1001/archderm.1935.01470060152017