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November 1939


Arch Derm Syphilol. 1939;40(5):850-860. doi:10.1001/archderm.1939.01490050166017

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A Case for Diagnosis (Sarcoid of Boeck and of Darier and Roussy?). Presented by Dr. G. D. Astrachan.  W. D., a Negress aged 30, came to the Skin and Cancer Unit of the New York Post-Graduate Medical School and Hospital, with an eruption of two years' duration. She has received adequate treatment for syphilis. The Wassermann reaction was persistently 4 plus.On the forehead, cheeks and chin there are several well defined, elevated, indurated, light brown waxy lesions varying in size from that of a pea to that of a 5 cent piece. On the upper and lower extremities are scattered many deep-seated nodular and somewhat elevated livid brown lesions the size of a pea or a bean.The tuberculin test elicited a negative reaction to dilutions of 1: 1,000,000 and 1: 10,000 and a positive reaction to a dilution of 1: 1,000.A patch test with old tuberculin gave

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