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April 1940


Arch Derm Syphilol. 1940;41(4):776-787. doi:10.1001/archderm.1940.01490100140023

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Lupus Erythematosus (Extensive). Presented by Dr. Francis E. Senear and Dr. Earle R. Pace (by invitation).  M. C., an Italian woman aged 50, was sent to the dispensary of the Research and Educational Hospital, University of Illinois, on Oct. 2, 1939, with an eruption of about four months' duration. It involves the arms, the upper part of the chest and shoulders, the neck and the areas about the ears and temples, and consists of small papules to coin-sized patches, often confluent, and on the temporal scalp reaching the size of half a palm. They have a striking violaceous color, and many papules and annular groups strongly resemble those of lichen planus. Follicular accentuation is notable in the scalp lesions, and on the interscapular area it reaches the proportions of lichen spinulosus. On the sides of the neck particularly the skin is thickened, becoming almost vegetative in places. There is little

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