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Lupus Vulgaris. Presented by Dr. Louis Willard.
A man, aged 22, presented an eruption of closely set, yellowish-red, semitranslucent papules, posterior to the right ear. The involved area was soft and irregularly covered with nonadherent scales. Posteriorly, the advancing border was sharply defined and formed part of a circle. This, the oldest lesion, had begun when the patient was 4 years of age. The largest area was on the left arm; it was 10 cm. in diameter and in its center was a vaccination scar. The lesion had appeared following an immunizing injection of diphtheria antitoxin in this area, when the patient was 6 years of age. Many smaller areas were scattered over the face, the trunk and the arms.
Dr. Stanley Crawford: This was a typical case of an acute, inflammatory lupus vulgaris. All of the areas were studded with yellowish nodules that were soft and superficial,
Fiscus JH, Willard L. PITTSBURGH DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1931;24(1):151–159. doi:10.1001/archderm.1931.01450010156017
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