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April 1940


Arch Derm Syphilol. 1940;41(4):788-798. doi:10.1001/archderm.1940.01490100152024

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Lupus Erythematosus Disseminatus. Presented by Dr. Howard Fox.  Mrs. C. C., aged 45, first noticed an eruption while on a sea voyage to Bermuda. The eruption appeared without exposure to strong sunlight, as she did not go on deck during the trip. The lesions are present during the warmer months and disappear almost completely during the winter. They involve the greater part of the face, the sides of the neck, the suprascapular region and the upper part of the chest. They consist of ill defined dull red superficial dry areas covered with a moderate amount of fine adherent scales. There is no apparent atrophy, and there are no subjective symptoms. The hair is sparse, as a result of former lesions in the scalp.The patient is well nourished and apparently in fair health. The onset of each attack has been accompanied by "bilious" symptoms. She has an occasional rise of

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