Lupus Erythematosus Superimposed on a Nevus. Presented by Dr. Harold M. Johnson.
J. D., a 30 year old Filipino, was first seen on June 1, 1944, with a bright red elevated verrucous scaly lesion located in a curved scimitar-like smooth brown lesion, which has been present since birth. The birthmark suddenly became rough and scaly about one year ago. The lesion is aggravated by exposure to sunlight, as evidenced by burning, itching and swelling. The lesion is sickle shaped and about ½ inch (1.3 cm.) in width and extends from the right supraorbital area upward into the scalp. There are scaling and follicular plugging. The blood was normal, except for 5 per cent eosinophils. There was no leukopenia.
Biopsy Report (Dr. I. L. Tilden).—The sections are characterized by parakeratosis and sharply outlined patches of cellular infiltrate in the corium. The epidermis in certain fields is somewhat atrophic, and
Wayson JT, Arnold HL. HAWAII DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1946;53(1):48–58. doi:10.1001/archderm.1946.01510300051013
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