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Lupus Erythematosus. Presented by Dr. Joseph V. Klauder.
H. M., a man aged 45, presents confluent erythematoscaly patches of twenty-three years' duration on the left side of the face and over the entire left ear, which is shrunken and atrophic. The scalp and mouth are normal.
Dr. Fred D. Weidman: I agree with the diagnosis. However, there are two other possibilities: lupus vulgaris erythematodes and porokeratosis of Mibelli. Casual inspection gives the impression that the margins of the lesions are elevated, but in my opinion analysis shows that their conspicuousness is due to the marked atrophy present in their central parts. By pressure I was not able to elicit anything that looked like the special focal infiltrations of tuberculosis. The location of the disorder around the ear calls to mind a patient whose case Dr. Corson reported and who was presented at two or more national meetings
Garner VC, Smith HJ. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1936;34(4):736–744. doi:10.1001/archderm.1936.01470160183027