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NEW YORK ACADEMY OF MEDICINE, SECTION ON DERMATOLOGY

NEW YORK ACADEMY OF MEDICINE, SECTION ON DERMATOLOGY This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Lupus Erythematosus with Leg Ulcers. Presented by Dr. F. Reiss for Dr. Phillip Frost. History.— A Chinese woman, who had hemolytic anemia and jaundice 4 years ago requiring splenectomy, came to the United States 6 months ago. She had shortness of breath and fatigue, generalized pruritic rash 3 months ago. Rash disappeared quickly, but leg ulcers developed. Physical Examination on Admission.— Examination showed a 52-year-old Chinese female—fatigued, pale, with 4 ulcers over lateral anterior and medial aspects of left leg. Enlarged liver and Grade 2 systolic murmur, loudest at apex, rales at bases of both lungs were present.Biopsy of ulcer edge: Skin ulcer with evidence of chronic dermatitis at base. Laboratory.— L.E. preparation was positive × 3; VDRL, 4 +; Kolmer, 3 + (5:1 titer); hematocrit, 30; Coombs' test, positive; total protein, 7.4; albumin, 2.4; globulin, 5.0 (marked increase γ-globulins on electrophoresis and slight increase in α2-globulin); electrolytes, normal. BUN, 11.5; http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

NEW YORK ACADEMY OF MEDICINE, SECTION ON DERMATOLOGY

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Publisher
American Medical Association
Copyright
Copyright © 1962 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1962.01590090113025
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Lupus Erythematosus with Leg Ulcers. Presented by Dr. F. Reiss for Dr. Phillip Frost. History.— A Chinese woman, who had hemolytic anemia and jaundice 4 years ago requiring splenectomy, came to the United States 6 months ago. She had shortness of breath and fatigue, generalized pruritic rash 3 months ago. Rash disappeared quickly, but leg ulcers developed. Physical Examination on Admission.— Examination showed a 52-year-old Chinese female—fatigued, pale, with 4 ulcers over lateral anterior and medial aspects of left leg. Enlarged liver and Grade 2 systolic murmur, loudest at apex, rales at bases of both lungs were present.Biopsy of ulcer edge: Skin ulcer with evidence of chronic dermatitis at base. Laboratory.— L.E. preparation was positive × 3; VDRL, 4 +; Kolmer, 3 + (5:1 titer); hematocrit, 30; Coombs' test, positive; total protein, 7.4; albumin, 2.4; globulin, 5.0 (marked increase γ-globulins on electrophoresis and slight increase in α2-globulin); electrolytes, normal. BUN, 11.5;

Journal

Archives of Dermatology – American Medical Association

Published: Sep 1, 1962

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