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November 1953


AMA Arch Derm Syphilol. 1953;68(5):594-597. doi:10.1001/archderm.1953.01540110116027

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Acute Disseminated Lupus Erythematosus. Presented by Dr. Samuel Bluefarb, Dr. Aaron Goldberg, and (by invitation) Dr. J. F. Sickley.

History.—The patient is a 34-year-old Negro woman. She entered the hospital on Dec. 16, 1952, complaining of chills, fever, and cough. She had apparently been well until about four days before admission to the hospital.

Laboratory findings showed the patient to have 4+ albuminuria and a leucopenia. Peripheral blood and sternal marrow L. E. preparations done on Jan. 2 were negative.

A dermatology consultation was requested on Jan. 2. At that time the only cutaneous manifestation present was a mottled hyperpigmentation of the flexor surfaces of the fingers.

The clinical course remained unchanged, and on Jan. 12 it was noted that there was a "suggestion of a butterfly-type lesion over the bridge of the nose and cheeks." On Jan. 16 it was noted that the face lesions had "become

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