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Lupus Vulgaris. Presented by Dr. Paul D. Foster.
L. T., a white woman aged 46, has had an eruption on the right ear since she was 5 years of age. Since that time she has had puffing and induration of the right ear which would partially disappear at times. Each time the lesion recurred it seemed to increase slightly in size. The condition finally progressed until a papular induration involved the entire ear. In August of this year, while the patient was having her hair cut, the barber accidentally traumatized the ear and the area seemed to bleed profusely.When first seen by me the patient presented erythematous, brownish, papular lesions involving the entire outer portion of the helix of the right ear. Diascopic examination revealed apple jelly nodules. A roentgenologic examination of the chest revealed no observations of any pathological significance.The pathological report on the biopsy was as
Scholtz JR, Couperus M. LOS ANGELES DERMATOLOGICAL SOCIETY. AMA Arch Derm Syphilol. 1951;63(4):507–511. doi:10.1001/archderm.1951.01570040101024
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