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A Case for Diagnosis. Presented by Dr. Thomas Butterworth, Reading, Pa.
T. S. R., a white man aged 35, a robust steel worker, presents a raised, annular, circinate, serpiginous and flesh-colored eruption involving the back and posterolateral aspects of the neck. The eruption had its onset about Nov. 1, 1943; it has improved at times but never entirely healed.
The serologic tests of the blood for syphilis elicited were negative reactions. The urine was normal. The biopsy specimen was reported as characteristic of atypical lupus erythematosus, conceivably with a tuberculous base.
The patient was given 900 r of roentgen rays in divided doses to selected lesions, without effect. Bismuth subsalicylate in oil, 1.25 cc. of a 13 per cent suspension, was administered weekly for eight weeks. Various keratolytic ointments were without value.
Dr. Sigmund S. Greenbaum: The histologist did not make a diagnosis; hence at least the provisional
Thomas CC, Friedman R. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1946;54(2):239–245. doi:10.1001/archderm.1946.01510370123017
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