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March 1947


Arch Derm Syphilol. 1947;55(3):421-424. doi:10.1001/archderm.1947.01520030114019

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Sarcoidosis. Presented by Dr. Nathan Pensky.  J. A., a Negro aged 28, is presented with a history of an eruption which first appeared on the arm in 1941. In 1943 lesions appeared on the face. In 1944 a cough and shortness of breath developed. The patient was born in North Carolina. There is no history of familial pulmonary disease.The patient now presents dusky red nodules on the forehead, eyelids, sides of the nose, ears, arms and backs of the hands. The lesions vary in size from that of a split pea to that of a large bean. In addition, there is a bilateral tenosynovitis of the wrists, which superficially appears like a simple ganglion. Generalized adenopathy is present.Tuberculin in a dilution of 1: 100 elicited a positive reaction. A roentgenogram showed a fine nodulation throughout both lungs, with some hilar enlargement bilaterally, a widening of the superior mediastinum,

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