Lupus Erythematosus Disseminatus Acutus Haemorrhagicus

Subcutaneous hemorrhages in lupus erythematosus are rarely mentioned in the textbooks. Alderson and Way,¹Stuhl,²Jäger and Kohl³and others have reported cases of gold poisoning in which hemorrhage was a symptom. Cases of the acute hemorrhagic type of lupus erythematosus apparently are rare. Madden,⁴in 1932, in his review of the literature on lupus erythematosus disseminatus, did not mention cutaneous hemorrhage. In 1922, Scholtz⁵reported a case which he designated lupus erythematosus acutus disseminatus haemorrhagicus. Our case was similar to his, except that it had a much shorter course. Scholtz⁵considered that there are two types of disseminated lupus erythematosus: In one there is gradual diffusion of the disease and the skin lesions remain without change for a long period, after which the disease subsides and the patient recovers or it has a long debilitating course and the patient dies, and in the