LARRY KING: Doctor, how did you first meet Michael?
DR. ARNIE KLEIN, MICHAEL JACKSON'S DERMATOLOGIST: I met Michael because someone had brought him into my office. And they walked into the room with Michael. And I looked one -- took one look at him and I said you have lupus erythematosus. Now, this was a long word.
KLEIN: Lupus, yes. I mean, because he had red -- a butterfly rash and he also had severe crusting you could see on the anterior portion of his scalp. I mean I always am very visual. I'm a person who would look at the lips of Mona Lisa and not see her smile. I would see the lips.
KING: Was he there because of that condition?
KLEIN: He was there only because a very close friend of his had told him to come see me about the problems he had with his skin. Because he was -- he had severe acne, which many people...
KING: Oh, he did?
KLEIN: Yes, he did. And many people made fun of him. He used to remember trying to clean it off and he'd gone to these doctors that really hurt him very much. And he was exquisitely sensitive to pain.
So he walked into my office. He had several things wrong with his skin. So I said -- and you have thick crusting of your scalp and you have some hair loss.
He says, well, how do you know this?
I said, because it's the natural course of lupus. So I then did a biopsy. I diagnosed lupus. And then our relationship went from there.
Lupus is achronic autoimmune disease where the body's immune system becomes hyperactive and attacks normal, healthy tissue. This results in symptoms such as inflammation, swelling, and damage to joints, skin, kidneys, blood, the heart, and lungs. Photosensitivity is a common feature of lupus erythematosus.
Patients with discoid lupus have a version of the disease that is limited to the skin. It is characterized by a rash that appears on the face, neck, and scalp, and it does not affect internal organs. Less than 10% of patients with discoid lupus progress into the systemic form of the disease, but there is no way to predict or prevent the path of the disease.
There is currently no cure for lupus, nor has there been a new drug to treat the disease in the last 50 years, although there are a number of new drugs currently being researched or in clinical trials. However, early diagnosis and proper medical treatment can significantly help control the disease and its symptoms. Treating lupus effectively consists of minimizing symptoms, reducing inflammation and pain, helping maintain normal function, and preventing serious complications.
"And the lupus, why he didn't just come out more clearly and say that was the problem, I'm not sure. But I know it was something that bothered him a lot."
Gotham Chopra, son of Deepak Chopra, who is a spiritual author and Michael´s friend
Here are official medical document from his accident from 1984 where he suffered scalp burns. It states that he had recent diagnosis of discoid lupus erythematosus with scalp flakiness and previous scalp infection. Under past medical history you can find that he took 2 prescribed medications: Plaquenil and Atabrine. Those are anti-
rheumatic drugs that are indicated in the treatment of discoid and subcutaneous lupus erythematosus:
One of Michael´s long time physicians was Dr. Allan Metzger, a lupus specialist rheumatologist (who is also mentioned in the documents above). On October 1st 2003 they both attended and gave a brief speech together, at an Evening of Love, Light and Laughter, a benefit for Lupus LA and Lupus Research at the Beverly Hills Hotel in Beverly Hills, California.
Dr. Robert Lahita from Newark Beth Israel Center talks about lupus and vitiligo with Diane Sawyer: