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September 1940


Arch Derm Syphilol. 1940;42(3):522-530. doi:10.1001/archderm.1940.01490150126021

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Sarcoidosis. Presented by Dr. Henry Silver.  R. H., a Negress aged 25, married and childless, is presented from the clinic cf Mount Sinai Hospital for Dr. William Leifer. She was first studied in April 1936, at which time there were lesions on the face and on the extensor aspects of the extremities. A clinical diagnosis of lupus miliaris disseminatus faciei and papulonecrotic tuberculid in a patient with late asymptomatic syphilis was made. Histologic examination confirmed the diagnosis of papulonecrotic tuberculid, but examination of tissue from the face revealed a picture suggestive of sarcoid. Intradermal injections of tuberculin in dilutions of 1: 1,000,000 and 1: 100,000 gave negative reactions. The blood count was normal. The Wassermann reaction was positive. Roentgenograms of the hands and wrists showed no changes in the bones. A roentgenogram of the chest showed infiltration at the root of the right lung and enlargement of the right paratracheal

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