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September 1930


Arch Derm Syphilol. 1930;22(3):530-536. doi:10.1001/archderm.1930.01440150156017

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A Case for Diagnosis (Subcutaneous Sarcoid?). Presented by Dr. Henry E. Michelson.  A woman, aged 43, in good health, was presented with numerous subcutaneous, infiltrated plaques, from 1 to 2 inches (2.5 to 5 cm.) in diameter, on the arms and hips, and one (the most recent) on the cheek. These lesions had been present for years. They did not ulcerate, but on involution, left an atrophy of the subcutaneous tissue with occasional islands of normal tissue within. They were painless. The Wassermann and the Pirquet test were negative. Weekly injections of neoarsphenamine over a period of eight weeks, brought about a marked involution of the lesions.

DISCUSSION  Dr. Henry E. Michelson: Subcutaneous sarcoid seems to be the most probable diagnosis. We shall remove the foci of infection and treat the patient intravenously with arsphenamine and will report later.Dr. Hamilton Montgomery: We recently saw a case at the Mayo

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