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LUPUS ERYTHEMATOSUS PROFUNDUS: REPORT OF AN EXAMPLE WITH CLINICAL RESEMBLANCE TO DARIER-ROUSSY SARCOID

LUPUS ERYTHEMATOSUS PROFUNDUS: REPORT OF AN EXAMPLE WITH CLINICAL RESEMBLANCE TO DARIER-ROUSSY... Abstract Lupus erythematosus is a systemic disease with variable cutaneous manifestations. When the acute or chronic inflammatory reaction involves primarily the upper layers of the skin, it produces a distinctive aspect. On the other hand, when the point of attack of a chronic process is principally centered in the lower half of the cutis and in the subcutis, the resultant picture is entirely unlike that of the superficial variety, for here the clinical phenomenon simulates the sarcoid of Boeck and that of Darier and Roussy and also erythema induratum. In the interest of better understanding, chronic lupus erythematosus should be subdivided further into three types according to the point of maximum reaction in the skin, namely, the superficial, the median and the deep. The last two types possess infiltrative qualities which produce tumor-like formations. The first type includes both the localized and the disseminate form, which are well known to all References 1. Whitehouse, H. H., in discussion on Maloney, E. R.: A Case for Diagnosis (Lupus Erythematosus, Sarcoid or Erythema Perstans?) , Arch. Dermat. & Syph. 31:439 ( (March) ) 1935. 2. Weidman, F. D., in discussion on Stokes, J. H.: Transition Sarcoid: Lupus Erythematosus vs. Sarcoid vs. Angiolupoid , Arch. Dermat. & Syph. 32:694 ( (Oct.) ) 1935. 3. Van Rhee, G.: Lupus Erythematosus and Sarcoid , Arch. Dermat. & Syph. 13:293 ( (Feb.) ) 1926. 4. Brocq, L.: Sur la nature du lupus érythémateux , Rev. gén. de clin. et de thérap. 9:113 ( (Feb. 23) ) 1895. 5. Kren, O.: Lupus erythematosus , Arch. f. Dermat. u. Syph. 112:391, 1912. 6. Oppenheim, M.: Lupus erythematosus profundus , Arch. f. Dermat. u. Syph. 115:847, 1913. 7. Fordyce, J. A.: Lupus Erythematosus with Nodular Lesions Suggesting Sarcoid , Arch. Dermat. & Syph. 11:852 ( (June) ) 1925. 8. Oliver, E. L.: Lupus Erythematosus; Sarcoid , Arch. Dermat. & Syph. 12:150 ( (July) ) 1925. 9. Caro, M.: Spiegler-Fendt Sarcoid , Arch. Dermat. & Syph. 22:1086 ( (Dec.) ) 1930. 10. Michelson, H. E.: A Case for Diagnosis (Subcutaneous Sarcoid?) , Arch. Dermat. & Syph. 22:530 ( (Sept.) ) 1930. 11. Montgomery, H., in discussion on Michelson.10 12. Pawlow, S. T., and Makarjin, A. A.: Zur Frage von tumorartigen Formen des Lupus erythematodes , Dermat. Ztschr. 59:111 ( (Aug.) ) 1930. 13. Stibbens, F. H.: Multiple Benign Sarcoid (Darier-Roussy Type) , Arch. Dermat. & Syph. 24:1064 ( (Dec.) ) 1931. 14. Comel, M.: Lupus eritematoso tumido associato ad eritema indurato Bazin; contributo al quesito delle microbidi cutanee , Gir. ital. di dermat. e sif. 73:1812 ( (Dec.) ) 1932. 15. Traub, E. F.: A Case for Diagnosis (Sarcoid? Lupus Erythematosus Profundus?) , Arch. Dermat. & Syph. 34:538 ( (Sept.) ) 1936. 16. Chargin, L., and Wolf, C.: Lupus Erythematosus of the Face and Boeck's Sarcoid of the Arms , Arch. Dermat. & Syph. 36:458 ( (Aug.) ) 1937. 17. Satenstein, D. L., in discussion on Chargin, L., and Wolf, C.: Lupus Erythematosus of the Face and Boeck's Sarcoid of the Arms , Arch. Dermat. & Syph. 40:499 ( (Sept.) ) 1939. 18. Jadassohn, J.: Lupus Erythematosus , in Mrǎcek, F.: Handbuch der Hautkrankheiten , Vienna, A. Hölder, 1904, vol. 3, p. 298. 19. Goeckerman, W. H.: Is Lupus Erythematosus Discoides Chronicus Due to Tuberculosis? Arch. Dermat. & Syph. 3:788 ( (June) ) 1921. 20. Keil, H.: Relationship Between Lupus Erythematosus and Tuberculosis: Critical Review Based on Observations at Necropsy , Arch. Dermat. & Syph. 28: 765 ( (Dec.) ) 1933. 21. Macleod, J. M. H.: Lupus Erythematosus: Some Observations on Its Etiology , Arch. Dermat. & Syph. 9:1 ( (Jan.) ) 1924. 22. Bloch, B., and Fuchs, H.: Ueber die Beziehungen des chronischen Lupus erythematodes zur Tuberkulose , Arch. f. Dermat. u. Syph. 116:722, 1913. 23. Cannon, A. B., and Ornstein, G. C.: The Tubercle Bacillus as an Etiologic Factor in Lupus Erythematosus , Arch. Dermat. & Syph. 12:691 ( (Nov.) ) 1925. 24. Cannon, A. B., and Ornstein, G. C.: Lupus Erythematosus: Treatment with Tuberculin , Arch. Dermat. & Syph. 16:8 ( (July) ) 1927. 25. Highman, W. J.; Stokes, J. H., and Pollitzer, S., in discussion on Macleod.20 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology and Syphilology American Medical Association

LUPUS ERYTHEMATOSUS PROFUNDUS: REPORT OF AN EXAMPLE WITH CLINICAL RESEMBLANCE TO DARIER-ROUSSY SARCOID

Archives of Dermatology and Syphilology , Volume 42 (1) – Jul 1, 1940

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Publisher
American Medical Association
Copyright
Copyright © 1940 American Medical Association. All Rights Reserved.
ISSN
0096-6029
DOI
10.1001/archderm.1940.01490130101012
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Abstract

Abstract Lupus erythematosus is a systemic disease with variable cutaneous manifestations. When the acute or chronic inflammatory reaction involves primarily the upper layers of the skin, it produces a distinctive aspect. On the other hand, when the point of attack of a chronic process is principally centered in the lower half of the cutis and in the subcutis, the resultant picture is entirely unlike that of the superficial variety, for here the clinical phenomenon simulates the sarcoid of Boeck and that of Darier and Roussy and also erythema induratum. In the interest of better understanding, chronic lupus erythematosus should be subdivided further into three types according to the point of maximum reaction in the skin, namely, the superficial, the median and the deep. The last two types possess infiltrative qualities which produce tumor-like formations. The first type includes both the localized and the disseminate form, which are well known to all References 1. Whitehouse, H. H., in discussion on Maloney, E. R.: A Case for Diagnosis (Lupus Erythematosus, Sarcoid or Erythema Perstans?) , Arch. Dermat. & Syph. 31:439 ( (March) ) 1935. 2. Weidman, F. D., in discussion on Stokes, J. H.: Transition Sarcoid: Lupus Erythematosus vs. Sarcoid vs. Angiolupoid , Arch. Dermat. & Syph. 32:694 ( (Oct.) ) 1935. 3. Van Rhee, G.: Lupus Erythematosus and Sarcoid , Arch. Dermat. & Syph. 13:293 ( (Feb.) ) 1926. 4. Brocq, L.: Sur la nature du lupus érythémateux , Rev. gén. de clin. et de thérap. 9:113 ( (Feb. 23) ) 1895. 5. Kren, O.: Lupus erythematosus , Arch. f. Dermat. u. Syph. 112:391, 1912. 6. Oppenheim, M.: Lupus erythematosus profundus , Arch. f. Dermat. u. Syph. 115:847, 1913. 7. Fordyce, J. A.: Lupus Erythematosus with Nodular Lesions Suggesting Sarcoid , Arch. Dermat. & Syph. 11:852 ( (June) ) 1925. 8. Oliver, E. L.: Lupus Erythematosus; Sarcoid , Arch. Dermat. & Syph. 12:150 ( (July) ) 1925. 9. Caro, M.: Spiegler-Fendt Sarcoid , Arch. Dermat. & Syph. 22:1086 ( (Dec.) ) 1930. 10. Michelson, H. E.: A Case for Diagnosis (Subcutaneous Sarcoid?) , Arch. Dermat. & Syph. 22:530 ( (Sept.) ) 1930. 11. Montgomery, H., in discussion on Michelson.10 12. Pawlow, S. T., and Makarjin, A. A.: Zur Frage von tumorartigen Formen des Lupus erythematodes , Dermat. Ztschr. 59:111 ( (Aug.) ) 1930. 13. Stibbens, F. H.: Multiple Benign Sarcoid (Darier-Roussy Type) , Arch. Dermat. & Syph. 24:1064 ( (Dec.) ) 1931. 14. Comel, M.: Lupus eritematoso tumido associato ad eritema indurato Bazin; contributo al quesito delle microbidi cutanee , Gir. ital. di dermat. e sif. 73:1812 ( (Dec.) ) 1932. 15. Traub, E. F.: A Case for Diagnosis (Sarcoid? Lupus Erythematosus Profundus?) , Arch. Dermat. & Syph. 34:538 ( (Sept.) ) 1936. 16. Chargin, L., and Wolf, C.: Lupus Erythematosus of the Face and Boeck's Sarcoid of the Arms , Arch. Dermat. & Syph. 36:458 ( (Aug.) ) 1937. 17. Satenstein, D. L., in discussion on Chargin, L., and Wolf, C.: Lupus Erythematosus of the Face and Boeck's Sarcoid of the Arms , Arch. Dermat. & Syph. 40:499 ( (Sept.) ) 1939. 18. Jadassohn, J.: Lupus Erythematosus , in Mrǎcek, F.: Handbuch der Hautkrankheiten , Vienna, A. Hölder, 1904, vol. 3, p. 298. 19. Goeckerman, W. H.: Is Lupus Erythematosus Discoides Chronicus Due to Tuberculosis? Arch. Dermat. & Syph. 3:788 ( (June) ) 1921. 20. Keil, H.: Relationship Between Lupus Erythematosus and Tuberculosis: Critical Review Based on Observations at Necropsy , Arch. Dermat. & Syph. 28: 765 ( (Dec.) ) 1933. 21. Macleod, J. M. H.: Lupus Erythematosus: Some Observations on Its Etiology , Arch. Dermat. & Syph. 9:1 ( (Jan.) ) 1924. 22. Bloch, B., and Fuchs, H.: Ueber die Beziehungen des chronischen Lupus erythematodes zur Tuberkulose , Arch. f. Dermat. u. Syph. 116:722, 1913. 23. Cannon, A. B., and Ornstein, G. C.: The Tubercle Bacillus as an Etiologic Factor in Lupus Erythematosus , Arch. Dermat. & Syph. 12:691 ( (Nov.) ) 1925. 24. Cannon, A. B., and Ornstein, G. C.: Lupus Erythematosus: Treatment with Tuberculin , Arch. Dermat. & Syph. 16:8 ( (July) ) 1927. 25. Highman, W. J.; Stokes, J. H., and Pollitzer, S., in discussion on Macleod.20

Journal

Archives of Dermatology and SyphilologyAmerican Medical Association

Published: Jul 1, 1940

References