Lupus Erythematosus. Presented by Dr. I. Zugerman.
I. B., a Negro aged 44, first noticed lesions on the face in 1927. Since 1933 he has been under treatment, with remissions and exacerbations. He presents indurated raised lesions on the chest, upper part of the arms, feet, oral mucosa, nose, face and neck. Some scars show hyperpigmentation, others depigmentation. The lesions are tender. The Kahn tests of the blood and spinal fluid gave negative results. The blood count was normal. The patient has been given a bismuth compound intramuscularly twice a week and quinine sulfate by mouth daily.
DISCUSSION
Dr. Bertram Shaffer (by invitation): When this patient was presented before the Atlantic Dermatologic Conference in 1937, most of the physicians agreed that the condition was hypertrophic lichen planus.Dr. Thomas Butterworth, Reading: This man was studied at the Graduate Hospital of the University of Pennsylvania for three or four years, and