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Lupus Vulgaris. Presented by Stanton B. May, M.D.
The patient is a white lady, aged 61, and a native of Yugoslavia who for 50 years has had a persistent dermatosis under her left earlobe. She was born in Yugoslavia (Croatia), but has lived in the United States for many years. She has seen many doctors but never had a diagnosis or successful treatment. During the past 2-3 years, the process has spread.
A silver-dollar-sized, erythematous, "meaty," telangiectatic, translucent, circumscribed, and slightly elevated plaque is present under and about the lower pole of the left earlobe. There are no other lesions.The histopathology may be regarded as a "beautiful example of lupus vulgaris."On Feb. 23, 1962, when the patient was first seen, she was placed on isoniazid acid 100 mg. t.i.d., and calciferol (Drisdol) 150,000 units a day. When last seen on March 9, there was slight improvement.The
Saperstein RB, Carney JW, Rose SB. THE METROPOLITAN DERMATOLOGICAL SOCIETY OF LOS ANGELES. Arch Dermatol. 1962;86(4):540–543. doi:10.1001/archderm.1962.01590100154028
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