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Lupus Pernio. Presented by Dr. Mildred Ryan, Brockton, Mass.
A. S., a girl aged 19, a year ago noticed a white area with red lines on the outer border of the left foot. One week later similar lesions appeared on the right foot and on the face. For the past four months lesions have been present in the ears.
On the nose and cheeks there are scattered scaling slightly raised red papular lesions showing some stippling and varying in size from that of a pinhead to 1 inch (2.5 cm.) in diameter. There are brown areas with stippling and atrophy in both ears. A small bluish red area is present on the ventral aspect of the left fourth toe, and there are two similar areas 1½ inches (3.8 cm.) in diameter on the outer aspect of the left foot. On the fingers of both hands, especially near the bases of