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Chronic Discoid Lupus Erythematosus. Presented by Dr. E. L. Glicksberg.
In May, 1952, M. F., a white woman aged 33, first noticed the appearance of a circular, raised lesion in the left maxillary area. It was purplish and swollen and had a red border. In December, 1952, her left ear lobe became swollen, red, and distended. This lasted for about a week and is now subsiding.
The patient had a "nervous breakdown" in 1944. She had one miscarriage at the 10th week of pregnancy in 1949. From April to November, 1949, the patient had a moderately severe seborrheic dermatitis of the scalp and groin.
The general physical condition is normal. Cutaneous examination reveals a circular, superficial, papular inflammatory lesion in the left maxillary area. It has an erythematous, indurated border and is clearing in the center, with atrophy. No crusts are present. The left ear lobe is slightly edematous.