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A Case for Diagnosis (Lupus Erythematosus?). Presented by Dr. Anker K. Jensen.
G. A., a 38 year old white woman, about seven months ago, after an attack of herpes zoster that was limited to the trunk, noticed a small lesion on the forehead. There has been no change in this lesion since it first appeared; it is on the upper central part of the forehead, a little smaller than a dime. It is erythematous, smooth, well marginated and with what appears to be a slight degree of atrophy in the center. The Wassermann reaction was negative. Slight improvement has followed four roentgen ray treatments of 75 r each.
DISCUSSION
Dr. Chris Halloran: There was considerable atrophy. The disease impressed me as being lupus erythematosus.Dr. Maximilian Obermayer: I agree with Dr. Halloran that the clinical impression is that of lupus erythematosus. This diagnosis, however, is not supported by histologic evidence.