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Sarcoid or Lupus Vulgaris (?). Presented by Dr. Frank Vero.
P. H., a woman aged 25, born in Turkey of Greek parents, has had an ovalshaped lesion situated near the root of the nose, extending toward the inner canthus of the left eye, for one year. The lesion is 1.5 cm. in its longest diameter. It is yellowish red. It is markedly infiltrated, being raised above the surface, and shows a slight depression in the center. There are a few telangiectases in the lower portion of the lesion. The Wassermann reaction was negative. The results of the roentgen examination of the chest were negative. A tuberculin test was not made.Biopsy disclosed moderate hyperkeratosis and an epidermis which had undergone atrophy through pressure. The corium showed numerous blood vessels and diffuse infiltration by polymorphonuclears, numerous lymphocytes and plasma cells. Scattered through this infiltrate were small epithelioid tubercles. Some of the deeper
Spiegel L, Traub E. NEW YORK ACADEMY OF MEDICINE, SECTION OF DERMATOLOGY AND SYPHILIS. Arch Derm Syphilol. 1934;29(3):448–462. doi:10.1001/archderm.1934.01460090117016
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