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Tuberculoid Leprosy vs Sarcoidosis. Presented by C.H. Greenbaum, MD, Y. Kauh, MD
A 39-year-old man, of Neapolitan ancestry but born and reared in Philadelphia, developed scattered violaceous, infiltrated plaques on the shoulder, nose, back, arms, and legs three years prior to examination. The lesions were asymptomatic but increased in numbers. Two years before examination, he developed pulmonary complaints associated with hilar adenopathy and right middle lobe infiltration, demonstrated roentgenographically. At that time, he stopped therapy with diphenylhydantoin sodium, phenobarbital, and primidone, which he had been taking following removal of an ependymoma 15 years previously.Physical examination showed thickening of the right ulnar nerve and the right great auricular nerve. Hypesthesia was detected in some lesions, although histamine injection produced a normal flare. Laboratory studies showed normal values for the following: complete blood cell count; platelet count; serologic tests for syphilis; serum calcium, phosphorus, blood urea nitrogen, uric acid, glucose, cholesterol,
Greenbaum CH. ATLANTIC DERMATOLOGICAL CONFERENCE. Arch Dermatol. 1975;111(5):660-662. doi:10.1001/archderm.1975.01630170118032