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Case for Diagnosis: Lupus Erythematosus? Presented by Dr. G. B. Sexton, London, Ont., Canada.
S. M., a 55-year-old white man, has had an eruption on the chin for five months. It began on the left mandible and spread peripherally. A satellite lesion began on the right mandible and extended on the neck anteriorly. The itching present at the beginning has subsided.
Examination reveals chronic diffuse, patchy, inflammatory areas on the above-named areas. The eruption is not follicular or scaly. Scrapings and cultures have been repeatedly negative for fungi. There is no history of irritants.
Fractional x-ray irradiation has not changed the appearance and antibiotics, parasiticides, wet dressings, and bland ointments have made no changes.
Dr. James Rogin: There is a discoid white atrophic scar about 1 cm. in diameter on the right side. The patient gives no history of preceding injury or other cause for this scar. The dermatitis
Hand E, Courville CJ, Holmes RH. DETROIT DERMATOLOGICAL SOCIETY. AMA Arch Derm Syphilol. 1953;67(1):106–107. doi:10.1001/archderm.1953.01540010110021