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A Case for Diagnosis (Lupus Erythematosus?). Presented by Dr. Louis Tulipan.
M. Mc., a colored woman, aged 32, had had an eruption for five years. For the first three years, itching and scaling of the scalp were the only difficulties. This had been followed by crusting. Removal of the crust left open wounds which healed slowly. Loss of hair set in about the time the crusting of the lesion had appeared. Examination showed extensive areas on the scalp denuded of hair, atrophic, oozing and ulcerated in spots, the whole thoroughly covered with mercurochrome-220 soluble. The Wassermann reaction on Oct. 29, 1930, was negative.
Dr. Fred Wise: The lesions in the scalp suggest, of course, various diagnoses, one of which is lupus erythematosus that has been irritated and ulcerated; another is pseudopelade of Brocq or a trophic folliculitis. I think that it is difficult to come to a decision regarding
Highman WJ, Cannon AB. NEW YORK ACADEMY OF MEDICINE, SECTION OF DERMATOLOGY AND SYPHILOLOGY. Arch Derm Syphilol. 1931;23(4):762–773. doi:10.1001/archderm.1931.03880220168011
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