Lupus Erythematosus Involving the Lips. Addison's Disease? Presented by Dr. Saul S. Robinson.
J. P., an unmarried Negress aged 37, states that about two years ago an eruption developed on the lips. Subsequently the neck, the upper part of the back, the preauricular regions and the upper part of the thorax became involved. There have been periodic improvement and exacerbation, the latter occurring at the time of the menses. Exposure to sunlight makes the eruption worse. There is a history of healed fibroid pulmonary tuberculosis in 1925 and lupus vulgaris (?) of the face in 1927.The patient is poorly developed and poorly nourished and is of the asthenic type. There is a generalized yellowish brown pigmentation involving the buccal mucosa. The lips show scaling, atrophic brownish red plaques, with punctate scaring.A blood count revealed 74 per cent hemoglobin, 4,180,000 erythrocytes per cubic millimeter, 12,000 leukocytes per cubic millimeter, 70