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LupusErythematosus. Presented by Dr. CharlesGreenhouse.
D. B., a girl, aged 18, presented a sharply defined, raised, red. macular lesion the size of a penny, in the center of the left cheek, and a similar lesion, pea-sized, above it which had persisted for the two years prior to presentation. A superficial crusted lesion on the forehead appeared the night before presentation. The patient had used salves. There was a scar on the right side of the neck most likely from tuberculous adenitis. This patient was a sister of E. B., who was also being treated for lupus erythematosus.
Microscopic examination showed throughout the cutis an interstitial and parenchymatous edema, more marked in the upper part. Here the vessels were markedly dilated, and the cellular infiltration was grouped chiefly around the follicles and the glands. The cellular infiltration was composed of lymphocytes and connective tissue cells. Just below the