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April 1938


Arch Derm Syphilol. 1938;37(4):679-691. doi:10.1001/archderm.1938.01480100132012

Lupus Erythematosus (Sarcoid Type of Tuberculosis Cutis in the Negro). Presented by Dr. Carmen Christine Thomas, Wilmington, Del. (by invitation), from the Dermatologic Clinic, University of Pennsylvania Hospital.  A. D., a Negress, aged 31, presents on the vertex of the scalp three or four atrophic, scarred bald areas. Over the malar regions of the face, the chin, the eyelids, the nasal septum, the vermilion borders of the lips, the pinnae of the ears and the retro-auricular regions are variously sized flat, round or oval discrete and confluent plaques and papules. Most of them show a hyperpigmented depressed center. Many show in addition a dusky erythematous elevated border. The recent lesions in the suprasternal notch are annular and look like eroded vesicles.The mucous membranes are normal. The inguinal and submaxillary nodes show shotty enlargement. The teeth are carious and the gums spongy and inflamed. The patient has had

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