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February 1930


Arch Derm Syphilol. 1930;21(2):313-315. doi:10.1001/archderm.1930.01440080153019

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Lupus Vulgaris. Presented by Dr. Maynard.  A woman, aged 44, presented a semicircular lesion of eighteen years' duration over the right external malleolus. There was some pruritus. During the day-time, the characteristic apple-jelly nodules and scarring could be seen. The patient would not permit a biopsy because of the extremely slow healing of a previous wound in this area. It was intended to try gold sodium thiosulphate as a patient at Stanford University had shown considerable improvement of lupus vulgarisand tuberculous dactylitis under therapy with a gold compound.

DISCUSSION  Dr. Morrow: This is a case of chronic eczema of the leg. There is no reason to diagnose it as lupus vulgaris. Has any roentgen therapy been applied?Dr. Culver: This condition is chronic eczema, and the scarring is probably due to secondary infection.Dr. Alderson: If therapy with a gold compound is used as a test measure, one must remember

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