Systemic Lupus Erythematosus in a Five-Year-Old Puerto Rican Boy. Presented by Dr. H. Mandel and Dr. Michael J. Fellner.
History.—This five-year-old child was admitted to The Mount Sinai Hospital in July, 1962. According to the patient's mother, he developed a rash on the face after he had measles at 14 months. He was treated with various pastes by private physicians with no improvement. Since 1957 he has had intermittent fevers, poor appetite, and easy fatigability. In 1962 he began to lose weight. He had mumps in 1961 and an umbilical repair in infancy. There were several diarrheal episodes in 1961 and ear infections, treated with penicillin. The rash persisted on the face and was aggravated by sunlight. Urine was always normal color.
Physical Examination.—The patient is a well developed and nourished child, with moon facies. Temperature is 100 F (37.8 C); BP 110/80; pulse 90; respiration 22; weight
THE NEW YORK ACADEMY OF MEDICINE, SECTION ON DERMATOLOGY AND SYPHILOLOGY. Arch Dermatol. 1963;88(4):476–482. doi:10.1001/archderm.1963.01590220108016
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