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April 1942


Arch Derm Syphilol. 1942;45(4):824-832. doi:10.1001/archderm.1942.01500100185020

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A Case for Diagnosis (Sarcoidosis? Tuberculoid Leprosy?). Presented by Dr. Donald MacVicar.  F. W., a Negress aged 40, presented from the department of dermatology and syphilology, Lakeside Hospital, was admitted to the hospital in June 1941, complaining of lumps in her skin. She was born in Alabama and had lived there for nineteen years, at the end of which time she moved to Cleveland. One year previous to admission she noted swelling and tenderness of the finger joints followed shortly by the appearance of numerous swellings in the skin of the entire body.Examination reveals a sharply defined eruption, most extensive on the trunk, arms and thighs. There are also a few lesions on the cheeks, nose and eyebrows. The left ala of the nose reveals a castor bean-sized nodule extending outward and downward. The lesions vary in size from that of a nickel to ovoid tumors as large as

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