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Article
October 1923

LUPUS ERYTHEMATOSUS ACUTUS DISSEMINATUS: REPORT OF A FATAL CASE ASSOCIATED WITH DISSEMINATED TELANGIECTASIS

Author Affiliations

Professor of Medicine, Temple University; Professor of Dermatology, Women's Medical College of Pennsylvania PHILADELPHIA

Arch Derm Syphilol. 1923;8(4):487-497. doi:10.1001/archderm.1923.02360160029004
Abstract

CLASSIFICATION OF LUPUS ERYTHEMATOSUS  All varieties of lupus erythematosus appear to fall into four clinical groups:

  1. Circumscribed or discoid form, chronic, occurring chiefly on the head and face, especially on the nose, cheeks and lobes of the ears.

  2. Diffuse or disseminated, of which there are three varieties.

    • Disseminated but not acute.

    • Disseminated, acute, developing from chronic discoid form.

    • Acute from the beginning, rapidly becoming disseminated and running an acute course throughout.

  3. Telangiectatic.

  4. Nodular.

Group (a), disseminated but not acute, may be associated with mild constitutional symptoms which some writers style subacute disseminated lupus erythematosus, and others erroneously designate as lupus erythematosus acutus disseminatus. This group is more commonly seen than the pure type of lupus erythematosus acutus disseminatus. Patients in this group are doubtless potential candidates for the acute disseminated form of lupus. It is stated that the presence of albuminuria is of

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