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June 1959


AMA Arch Derm. 1959;79(6):729-735. doi:10.1001/archderm.1959.01560180103032

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A Case for Diagnosis: (Lupus Erythematosus?). Presented by Dr. David W. Folan Jr., Dr. Edwin Smith, and Dr. John G. Downing.

A housewife and registered nurse aged 30 has had a dermatosis involving the forehead, lips, dorsa of the hands, forearms, and chest, since November, 1957. The eruption appeared on the hands, persisted, and then involved the forehead in December, and the upper and lower lips in February, 1958. The lesions of the lips are painfully itchy. New lesions developed on the upper, anterior aspect of the chest in March.

The patient had a red rash on the forehead, cheeks, and forearms in August, 1956. This cleared in two or three weeks after using a sun-screen preparation and avoiding direct exposure to the sun. Biopsy at the Massachusetts General Hospital was reported as a nonspecific dermatitis. There was no dermatitis last summer.

The patient was seen on Dec. 8, during her

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