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April 1938


Arch Derm Syphilol. 1938;37(4):719-729. doi:10.1001/archderm.1938.01480100172014

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A Case for Diagnosis (Lupus Erythematosus?). Presented by Dr. Harry Garfield Irvine and Dr. D. D. Turnacliff, Minneapolis.  For the past three years this man has had recurrent flare-ups of swelling over both cheeks and the nose, accompanied with chills and fever. Between attacks a thickening persists, which gives an appearance similar to scleroderma. The teeth and sinuses have shown no sign of infection.Diagnoses of acute lupus erythematosus, recurrent erysipelas, rosacea, tuberculid and dermatitis from glasses have been considered. Bismuth and roentgen therapy have perhaps had a palliative effect.Our opinion is that the condition is the type of lupus erythematosus which will flare up with more extended lesions. Should sulfanilamide be tried?(Microscopic slides were shown.)

DISCUSSION  Dr. John F. Madden, St. Paul: This condition probably is cellulitis accompanying some inflammatory condition of the nose. I have seen similar reactions in association with acute rhinitis and

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