Abstract In 1924, MacLeod,1 listed the main theories concerning the etiology of lupus erythematosus as (1) local, (2) tuberculous, and (3) toxic or septic. Subsequent investigations have established the nontuberculous nature of the disease and have tended to confirm the concept of an underlying focus of infection or toxic process. However, occasional reports of cases in which lesions developed at sites of trauma suggest that at times local factors may play a role. King-Smith,2 in 1926, reported on his series of 49 cases, 18 of which had a history of trauma prior to the appearance of lesions of lupus erythematosus. He also reviewed 30 cases which had been reported elsewhere, and 11 of them followed external trauma. During the subsequent years there have been reports in which the following types of trauma were incriminated: tattoo,3-6 friction,7 squeezing of comedones or pustules,8,9 blow from References 1. MacLeod, J. M. H.: Lupus Erythematosus: Some Observations on Its Etiology , Arch. Dermat. & Syph. 9:1 ( (Jan.) ) 1924. 2. King-Smith, D.: External Irritation as a Factor in the Causation of Lupus Erythematosus Discoides , Arch. Dermat. & Syph. 14:547 ( (Nov.) ) 1926. 3. Appel, B.: Lupus Erythematosus on Tattoo , Arch. Dermat. & Syph. 21:855 ( (May) ) 1930. 4. Madden, J. F.: Reactions in Tattoos (Chronic Discoid Lupus Erythematosus) , Arch. Dermat. & Syph. 60:789 ( (Nov.) ) 1949. 5. Rook, A., and Thomas, P. J. B.: Lupus Erythematosus , Brit. J. Dermat. 64:62 ( (Feb.) ) 1952. 6. Tolman, M. M.: Lupus Erythematosus Discoides: Its Present Status with Regard to Etiology and Treatment , New England J. Med. 219-688 ( (Nov. 3) ) 1938. 7. McCarthy, F. P.: Lupus Erythematosus , Arch. Dermat. & Syph. 23:1184 ( (June) ) 1931. 8. Boardman, W. P.: Lupus Erythematosus? Arch. Dermat. & Syph. 23:1190 ( (June) ) 1931. 9. MacDonald, W. J.: Lupus Erythematosus Discoides in Relation to Trauma , Urol. & Cutan. Rev. 38:863 ( (Dec.) ) 1934. 10. Franck, G.: Some Remarks on the Subject of Lupus Erythematosus of Traumatic Origin , Urol. & Cutan. Rev. 39:329 ( (May) ) 1935. 11. Stein, A. A.: Lupus Erythematosus on Sites of Operative Trauma , Urol. & Cutan. Rev. 40:654 ( (Sept.) ) 1936. 12. Kilpinen, O.: Über einen Fall von durch Gummireizung hervorgerufenem Erythematodes , Acta-dermat. venereol. 26:329 ( (March) ) 1946. 13. Spencer, G. A.: Lupus Erythematosus Following Burns from Hydrochloric Acid: Report of a Case , A. M. A. Arch. Dermat. & Syph. 64:215 ( (Aug.) ) 1951. 14. Bernstein, E. T.: Lupus Erythematosus Following Laceration by Broken Glass , A. M. A. Arch. Dermat. & Syph. 63:261 ( (Feb.) ) 1951. 15. Soifer, A. A.: Discoid Lupus Erythematosus (Traumatic), to be published. 16. Schiff, B. L., and Kern, A. B.: Discoid Lupus Erythematosus Following Trauma , Brit. J. Dermat. 66:357 ( (Oct.) ) 1954. 17. Schwartz, L.; Tulipan, L., and Peck, S. M.: Occupational Diseases of the Skin , Ed. 2, Philadelphia, Lea & Febiger, 1947.
A.M.A. Archives of Dermatology – American Medical Association
Published: May 1, 1957