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March 1939


Arch Derm Syphilol. 1939;39(3):557-563. doi:10.1001/archderm.1939.01480210172024

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Lupus Erythematosus (Senear-Usher Syndrome). Presented by Dr. W. F. Schwartz (from the Department of Dermatology and Syphilology, Cleveland City Hospital).  L. B., a Negress aged 51, was in good health until three months ago, when she noticed an eruption about the umbilicus, the forehead, the temples, the right forearm and the left thigh.The lesions consist of grouped vesicles, some almost pea sized and others smaller. In some areas the lesions have involuted, leaving scaly, depigmented and moderately atrophic spots. In the temporal area the involvement extends beyond the hair border, producing areas of alopecia about 1 inch (2.5 cm.) in diameter. These lesions are characteristic of lupus erythematosus. There are no lesions on the mucous membranes. There is some pruritus. Nikolsky's sign was not elicited.Roentgenograms of the chest were essentially normal. There were 4,500,000 erythrocytes and 12,900 leukocytes. The differential leukocyte count was normal.A biopsy specimen taken

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