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December 1934


Author Affiliations

Visiting Physician for Diseases of the Skin, Boston City Hospital; Associate Professor, Tufts Medical School; House Officer, Skin Service, Boston City Hospital; Third Assistant Pathologist, Boston City Hospital BOSTON

Arch Derm Syphilol. 1934;30(6):772-778. doi:10.1001/archderm.1934.01460180014002

Subcutaneous hemorrhages in lupus erythematosus are rarely mentioned in the textbooks. Alderson and Way,1 Stuhl,2 Jäger and Kohl3 and others have reported cases of gold poisoning in which hemorrhage was a symptom. Cases of the acute hemorrhagic type of lupus erythematosus apparently are rare. Madden,4 in 1932, in his review of the literature on lupus erythematosus disseminatus, did not mention cutaneous hemorrhage.

In 1922, Scholtz5 reported a case which he designated lupus erythematosus acutus disseminatus haemorrhagicus. Our case was similar to his, except that it had a much shorter course. Scholtz5 considered that there are two types of disseminated lupus erythematosus: In one there is gradual diffusion of the disease and the skin lesions remain without change for a long period, after which the disease subsides and the patient recovers or it has a long debilitating course and the patient dies, and in the

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