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A Case for Diagnosis (Lupus Vulgaris? Lupus Miliaris Disseminatus Faciei?). Presented by Dr. E. William Abramowitz.
J. L., a man aged 25, from the Skin and Cancer Unit of the New York Post-Graduate Medical School and Hospital, has had an eruption on the face for seven months. There are a few comedones, papules and pustules on the chin, on the forehead and on both cheeks. In the same areas there are a moderate number of lentil-sized, elevated, brownish red, soft and shiny lesions. There are a few pinpoint scars from an old acne. The patient was first seen in November 1935 and received local irradiation from a mercury vapor glow lamp, without improvement.
Tuberculin tests on Feb. 21, 1936, gave negative results with a 1:1,000,000 dilution and a 1 plus reaction with a 1:10,000 dilution. A biopsy made by Dr. Satenstein on March 20, 1936, showed lupus vulgaris,
Combes FC, Scheer M. NEW YORK ACADEMY OF MEDICINE, SECTION OF DERMATOLOGY AND SYPHILIS. Arch Derm Syphilol. 1937;35(3):507–520. doi:10.1001/archderm.1937.01470210133016
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