Acute Disseminated Lupus Erythematosus. Presented by Dr. Carroll F. Burgoon and (by invitation) Dr. Herbert Goldschmidt.
L. H., a Negro woman aged 23, presented multiple hyperpigmented patches with follicular plugging and atrophy on the face, alopecia of the scalp and loss of eyebrows, maculopapular hyper- and hypopigmented lesions and depressed scars on both forearms and petechial patches on the tips of the fingers.
In July, 1953, when six months pregnant, the patient noticed an eruption on the right cheek, which spread over the entire face, ears, hands, and arms. The test for L. E. phenomenon was negative. She was delivered of a premature baby on Nov. 7, 1953. In February, 1954, she noticed progressing alopecia and occasional pain in the joints of the ankles and knees. There was exacerbation three weeks prior to admission, on Oct. 21, 1954, to Hahnemann Hospital, with pain in all joints of the hands, elbows,