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December 8, 1900


Author Affiliations

Professor of Dermatology in the College of Physicians and Surgeons of Chicago, Medical Department of the University of Illinois. CHICAGO.

JAMA. 1900;XXXV(23):1476-1478. doi:10.1001/jama.1900.24620490034001l

The patient, a married woman aged 38, was referred to me May 8, 1900, by Dr. H. B. Favill, with a diagnosis of lupus and for treatment with Roentgen rays. The condition at that time is shown in the accompanying photograph, Fig. 1, which I took when I first saw her. The extent of the disease on the left side of the face and the neck is indicated in the photograph. It also extended over on the right side of the chin and up on the right cheek beyond the angle of the mouth. This entire area was covered with lupus ulcers and unhealthy scars. The ulcers were the typical flabby, soft, indolent ulcers of lupus covered with reddish-brown crusts. The scars were thick, red, band-like and very disfiguring. The scars were most marked under the chin and they were sufficiently rigid to materially interfere with motion. At many points