On 23 September 1919, Sir William Osler, after a telephone call from his friend Dyson Perrins, went to Glasgow where he saw a 40-year-old woman, Bethia Fulton Martin, in consultation with three local physicians. Osler called it “one of those remarkable Erythema cases (all sorts of skin lesions and three months on and off consolidation of both lower lobes).” Mrs Martin died 114 days later; her death certificate listed “angioneurotic oedema with chronic nephritis” and “tuberculous enlargement of the mediastinal lymph nodes.” Osler died 18 days before Mrs Martin of complications from a respiratory infection acquired on his way home from Scotland. We discuss factors that possibly prompted Osler to go to Scotland, including his role with the newly formed University Grants Committee, and the differential diagnosis of the case, which is mainly between systemic lupus erythematosus and Henoch-Schönlein purpura.

1919 年 9 月 23 日，威廉·奥斯勒爵士接到朋友戴森·佩林斯 (Dyson Perrins) 的电话后，前往格拉斯哥，在与当地三名医生会诊后，见到了一位 40 岁的妇女贝西娅·富尔顿·马丁 (Bethia Fulton Martin)。奥斯勒称其为“引人注目的红斑病例之一（各种皮肤损伤和三个月断断续续的双下叶实变）”。114 天后，马丁夫人去世了；她的死亡证明上写着“慢性肾炎血管神经性水肿”和“纵隔淋巴结结核性肿大”。奥斯勒于马丁夫人去世前 18 天死于从苏格兰回家途中感染的呼吸道感染并发症。我们讨论了可能促使奥斯勒前往苏格兰的因素，包括他在新成立的大学资助委员会中的角色，以及该病例的鉴别诊断，该病例主要是系统性红斑狼疮和过敏性紫癜。