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Sarcoidosis. Presented by Dr. Clyde L. Cummer, Dr. Charles G. LaRocco and (by invitation) Dr. E. S. Rambousek.
H. W., a Negro aged 47, presents a nodular almost translucent ham-colored growth around the right naris of nine months' duration. More recently the palmar surfaces of two fingers of the right hand have shown almond-sized dusky red indurated lesions. Many of the superficial lymph nodes have shown moderate enlargement.
He was admitted to St. Vincent Charity Hospital on Feb. 2, 1943 for observation and remained for two weeks. During this period his temperature was within normal limits.
The results of a urinalysis and the hemogram were normal. Determinations of the blood chemistry showed urea nitrogen, creatinine and calcium to be present in normal amounts. The values for blood chlorides on two occasions were 647 and 561 mg. per hundred cubic centimeters, respectively. The total proteins were increased in amount,