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Article
June 1932

LUPUS ERYTHEMATOSUS OF THE CONJUNCTIVA, EYELIDS AND LID MARGINS

Author Affiliations

Dermatologist and Syphilologist to Wills Hospital; Assistant Surgeon and Pathologist to Wills Hospital PHILADELPHIA

Arch Ophthalmol. 1932;7(6):856-867. doi:10.1001/archopht.1932.00820130040003
Abstract

Lupus erythematosus with ocular complications or manifestations is extremely rare. English and American authors who mention the disease do not describe it. The few cases reported, which will be subsequently discussed, are by foreign writers.

We recently studied at the Wills Hospital Clinic three patients with lupus erythematosus of the conjunctiva. In two of these patients trachoma was diagnosed by others. The conjunctival lesions, however, did not present the characteristics of trachoma, as granulations and follicles were absent. In one patient (case 1) there was an extreme redness of the conjunctiva, with a velvet-like edema. The edema and redness were general on the exposed surface of the conjunctiva of the upper lid. The patient complained of photophobia and of a mucoid discharge. A similar picture was presented by another patient (case 3), who in addition had lupus erythematosus of the eyelids and their margins (fig. 2). In the third patient

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