THE SO-CALLED LIBMAN-SACKS SYNDROME

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To the Editor:—The article by Belote and Ratner in the April 1936 issue of the Archives (vol. 33, p. 642) has served to call to the attention of dermatologists the occurrence of a peculiar variety of endocarditis which is separate and distinct from that of rheumatic heart disease and subacute bacterial endocarditis (Libman and Sacks). It is, however, apparent that the subject of acute lupus erythematosus has fallen into a state of obfuscation. The discussions following the presentation of this paper are admirable, but the general effect is to leave the reader confused because of the differences in the point of view held by the various men. It is for this reason that I beg leave to make an attempt to clarify several important issues that have arisen. The implied query of Belote and Ratner of whether there is a disease peculiar to the Mount Sinai Hospital

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