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Article
September 1942

DISSEMINATED LUPUS ERYTHEMATOSUSREPORT OF TWO CASES WITH UNUSUAL CLINICAL MANIFESTATIONS

Arch Derm Syphilol. 1942;46(3):362-374. doi:10.1001/archderm.1942.01500150028004
Abstract

There have been numerous recent articles devoted to the clinical and pathologic manifestations of disseminated lupus erythematosus. This is a report of 2 cases of acute disseminated erythematosus with certain unusual features which were suggestive of adrenal insufficiency. The postmortem examination in 1 case is described.

REPORT OF CASES 

Case 1.—Clinical History.—  E. L., a 35 year old white housewife, was admitted to the Boston City Hospital on April 4, 1940 and died on July 9. The patient's past history and family history were not relevant. The earliest symptoms referable to her present illness appeared after the delivery of her first child in December 1933. With this pregnancy she was said to have had a toxemia. Three months post partum there developed stiffness and swelling of the hands and fleeting pains in the back. After these symptoms had persisted several months she consulted a physician, who found definite

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