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A Case for Diagnosis: Lupus Vulgaris? Presented by Dr. G. C. Doyle, Duluth, and Dr. J. F. Schmid, Duluth.
R. W., a 28 year old male filling station operator, noted an eruption on the lip in May 1949. Initially the lesion was erythematous, and the patient thought he had a "cold sore." When he was first examined, on Aug. 16, 1949, he showed a 2 cm. erythematous and vesicular plaque on the left upper lip and an excoriated papular eruption on the flexors of the forearms. There was no history of traumatic injection of oil or grease into the lip.The reaction to old tuberculin intradermal testing (0.1 mg.) was 4 plus, and the roentgenogram of the chest revealed no abnormality on Sept. 23, 1949. Sputum examinations have not demonstrated tubercle bacilli. Precipitation tests for syphilis gave negative reactions. Calciferol (drisdol®), 100,000 units per day, has been administered since Sept.
Kierland RR, Ceder ET. MINNESOTA DERMATOLOGIC SOCIETY. AMA Arch Derm Syphilol. 1951;63(1):142–146. doi:10.1001/archderm.1951.01570010145017
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