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Lupoid of Boeck. Presented by Dr. H. E. Michelson, Minneapolis.
Mrs. W., aged 35, is presented because of two indurated plaques on both cheeks. The areas are about the size of a quarter and are adherent to the underlying skin. They have been present for two years. The lesions are not elevated; in fact, a slight depression is noted. The areas are dark blue and have remained unchanged in size for several months. Microscopic sections showed a firmly packed dense infiltrate of epithelioid cells surrounded by a very thin zone of lymphocytes. The Pirquet and Wassermann reactions were negative.
DISCUSSION
Dr. H. E. Michelson, Minneapolis: The patient shows the deep-seated plaques typical of sarcoid of Boeck. The histologic picture, as might be expected, showed lobulated accumulations of epithelioid cells surrounded by a fringe of lymphocytes.A Case for Diagnosis (Nodular Syphilis? Sarcoid?). Presented by Dr. H. E. Michelson, Minneapolis.This