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Case for Therapeutic Recommendations: Chronic Disseminate Lupus Erythematosus. Presented by Dr. Carroll F. Burgoon.
D. R., a white woman aged 34, presented scattered erythematous infiltrated and atrophic lesions on the face, neck, retroauricular areas, chest, and arms. The eruption began on the face in 1946. It flared on exposure to sunlight and was associated with malaise.
There is no lymphadenopathy, and neither liver no spleen is palpable.
A complete blood count revealed 85% hemoglobin, 4,420,000 erythrocytes, 11,300 leucocytes, 68% polymorphonuclear leucocytes, and 32% lymphocytes. The L. E. phenomenon was positive on June 8, 1954, negative on Jan. 7, 1955. Serum protein and albumin-globulin ratio were normal. On June 8, 1954, the sedimentation rate was 48 mm. in an hour; on Jan. 7, 1955, it was 28 mm. in an hour. In January, 1955, a complete blood cell count was within normal limits.
The report on the biopsy specimen from
Decker HB, Johnson LM. PHILADELPHIA DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1955;72(4):388–391. doi:10.1001/archderm.1955.03730340086018
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