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June 1955


AMA Arch Derm. 1955;71(6):748-762. doi:10.1001/archderm.1955.01540300070023

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Case for Diagnosis. (Lupus Erythematosus? Pityriasis Rubra Pilaris?) Presented by Dr. David V. Omens and (by invitation) Dr. Harold D. Omens and Dr. Leonard Hoit.

The patient is a white man, a dock worker, aged 39. About four months ago he first noticed the appearance of several small, red, discrete lesions on the abdomen. These lesions were mildly pruritic, but as a whole, not troublesome, and so the patient ignored them. Some two months later, similar lesions appeared on the arms and face, and soon after this a red, rapidly spreading lesion developed on the anterior chest and neck. The patient has tried many local remedies without apparent help.

Past history is noncontributory. Physical examination except for the lesions described is normal.

Laboratory findings: Blood: Hemoglobin 86%; leucocytes 9400, with 70% polymorphonuclears, 4% band forms, 26% lymphocytes. Urine normal. Kahn reaction negative. Blood chemistry: Nonprotein nitrogen 32 mg.

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