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October 1941


Arch Derm Syphilol. 1941;44(4):706-727. doi:10.1001/archderm.1941.01500040161019

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A Case for Diagnosis (Lupus Erythematosus Disseminatus? Senear-Usher Syndrome?). Presented by Dr. Girsch D. Astrachan.  V. M., a man aged 37, born in Italy, has been treated for psoriasis since 1938. He was admitted to the Metropolitan Hospital on Sept. 3, 1940. Two months previously there developed an exfoliative dermatitis, for which he did not seek medical aid until he became weak. He had had malaria in 1922.On admission the patient presented a generalized eruption composed of many eroded areas which varied in size and shape; some of these were covered with thin crusts. Intact bullae and remains of broken bullae were seen. An intense odor was present. No lesions were noted in the mouth. There was conjunctivitis with a purulent discharge. On the nose and cheeks there was a scaly eruption of butterfly distribution. The borders of the lesions on the face were well defined.The course of

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