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A Case for Diagnosis. Presented by Dr. Herman Beerman and Dr. James McGuire (by invitation).
C. C., a white youth aged 19, well developed and healthy looking, presents involvement of most of the nose by a pigmented lesion. In both preauricular regions and on the chin and lower lip there are discoid lesions with violaceous discoloration, moderate atrophy and hyperpigmentation. The patient has always been in good health and has spent the past several months in the army. After three months' field work in Texas, he acquired the present lesions on the face and was given a medical discharge from the army, with the clinical diagnosis of lupus erythematosus. When he was seen in the clinic, lichen-planus-like lesions were noted on the dorsa of the hands. Serologic tests of the blood for syphilis elicited negative results. A blood count revealed 4,400,000 erythrocytes, 90 per cent hemoglobin and 4,950 leukocytes. The
Wright CS, Thomas CC. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1944;49(5):381–385. doi:10.1001/archderm.1944.01510110079020
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