DERMATOLOGIC SOCIETY OF GREATER NEW YORK
Oct 15, 1970Harvey J. Cohen, MD, Editor
Sjögren's Syndrome With Systemic Lupus Erythematosus. Presented by Michael J. Fellner, MD, Maria V. Klaus, MD, and Alan Moshell, MD.
The patient, a 54-year-old white woman, has had, for seven years, pain and blanching of fingers and toes on exposure to cold; for six years, a lack of tearing and dryness of the mouth; for five months, a macular erythema of her chest and neck which exacerbates following sun exposure; for four months, ulcers of the lower portion of her legs; for one month, black discoloration of the tip of her left index finger.The skin of the neck and upper part of the chest reveals a mix of telangiectasia, atrophy, hyperpigmentation, hyperkeratosis, and follicular plugging. There are purpuric areas of the hands and feet and multiple petechiae and ecchymoses of both legs with ulcers of
Society Transactions. Arch Dermatol. 1971;104(2):212-217. doi:10.1001/archderm.1971.04000200100019