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Lupus Erythematosus, Discoid Type. Presented by Dr. Clement E. Counter.
M. C., a woman aged 46, began to have the present inflammatory eruption of the face about seven years ago. The first lesion appeared on the lower part of the face and was approximately the size of a dime. Since then it has enlarged to its present size and new similar lesions have occurred on the sides of the face just below the ears. About 1918 the patient had syphilis and received approximately six months' therapy, which included injections of mercurials and potassium iodide by mouth as well as six to eight intravenous injections of arsphenamine. The Wassermann reaction became negative and has been negative ever since.
There are defined erythematous patches on the lower part of the face, including chiefly the chin and the upper lip, entirely surrounding the mouth. Other similar lesions are present on the sides of
Goeckerman WH, Counter CE. LOS ANGELES DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1945;52(1):50–55. doi:10.1001/archderm.1945.01510250055018