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A Case for Diagnosis (Sarcoidosis?). Presented by Dr. Frances A. Torrey.
L. H., a 28 year old white woman presented from the department of dermatology, University of California, was first seen in the dermatology clinic on Oct. 9, 1944.
At that time she had a tender subcutaneous swelling deep in the medial aspect of the right leg, which, she says, has been growing gradually for five to six years.
Examination reveals a dozen or more painless subcutaneous nodules scattered over her body. Many of these, she says, have been present for a long time. She discovers new ones from time to time. She says that her brother has similar nodules.
There is a patchy hyperpigmentation on the forehead and to a lesser degree on the face, and it has been increasing for the past year.
The patient has noted a feeling of increasing fatigue for the last six months.
John L. Fanning, Frances M. Keddie. SAN FRANCISCO DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1946;53(3):301–306. doi:10.1001/archderm.1946.01510320091019