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January 1950

CHRONIC LUPUS ERYTHEMATOSUS: Report of an Unusual Case with Concomitant Subcutaneous Edematous Nodes and Swellings; Historical Review

Author Affiliations


From the Dermatological Clinic, Boston Regional Office, United States Veterans Administration.

Arch Derm Syphilol. 1950;61(1):20-33. doi:10.1001/archderm.1950.01530080026003

A VERY unusual case of chronic discoid lupus erythematosus was recently observed. Present were the characteristic clinical features of this disorder; in addition, there were manifest subcutaneous nodes and edematous swellings of the face, head and neck. The latter may be observed in acute disseminated lupus erythematosis1; their occurrence in the chronic discoid form is extremely rare.

No mention is made of similar instances in the European literature. A few cases with aspects somewhat analogous to mine have been presented before dermatologic societies in this country. Irgang2 and Arnold3 described several more under the title of lupus erythematosus profundus. Study of the latter cases indicates that not a little confusion exists regarding the exact nosologic and etiologic evaluation of the nodes and swellings. This confusion extends to several of the more recent dermatologic texts and stems, undoubtedly, from the emphasis placed on the histologic features of

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