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Lupus Miliaris Faciei. Presented by Dr. C. Guy Lane, Boston.
B. A., a white woman aged 47, employed in a bakery shop, presents an eruption on the face of approximately one year's duration. Symmetrically distributed over the fleshy area of the face, with a few grouped lesions over each zygoma, there are closely packed, brownish red papules, with erythema but no telangiectasia. The reaction to a tuberculin test with a dilution of 1: 25,000 was positive. Microscopic examination showed characteristics of tuberculosis, with tubercle formation, round cells and giant cells. Roentgen ray examination of the chest revealed evidence of old pleurisy on the right side. In an attempt to produce desensitization four intradermal injections of tuberculin, 1:25,000 dilution were administered at seven day intervals, but this produced no appreciable change in the local reactions. On Sept. 20, 1939 5 mg. of gold sodium thiosulfate was administered intravenously and was followed