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Chronic Discoid Lupus Erythematosis with Subacute Dissemination. Presented by Dr. Francis P. McCarthy, Boston.
J. M., a 30 year old man, entered the hospital on Aug. 2, 1940 with a history of an eruption, fever, malaise and pleuritic pain which had been present for three years. He was discharged on August 14 and reentered the dermatologic service on November 17 with the same complaint. In January 1932 he had had a penile lesion and lesions of secondary syphilis. The reaction to a Kahn test was positive, and he received antisyphilitic treatment from 1932 until 1935. He is known to be an alcoholic addict.Examination reveals discoid red and brownish lesions on the face, ears and neck, with atrophy, scales, dilatation and plugging of the follicles and telangiectasia. There are several scaly erythematous maculopapular lesions on both arms. His liver is enlarged and extends 7 cm. below the costal margin. There