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Acnitis. Presented by Dr. Wile.
A housewife, aged 32, had a condition which had been present for two years. It had been much more pronounced for the past year, involuting and recurring spontaneously. The patient had used many different kinds of ointment, and had also been treated with alpine light, without permanent benefit.The patient presented an eruption confined to the face and forehead, which was made up of discrete, brightly inflammatory papules, which averaged in size that of a pinhead, and which gave a characteristic yellowish-brown color with diascopy.A biopsy was shown.
Dr. Stillians: I was impressed by the grouping of the lesions and their butterfly-like distribution over the face.Dr. Michelson: Because of the history of the lesions appearing in crops and because of their small size, grouping and transluscent coloring, I think the case is one of disseminated lupus vulgaris.Dr. Ormsby: The lesions in