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Sarcoidosis of the Skin. Presented by Dr. William R. Hill Jr., Boston.
The Reverend Sister E., aged 45, had noted the gradual development of nodules under the skin of the trunk and extremities during the past eighteen months. The skin overlying some of these nodules became discolored. No history of injury to these areas was obtained. The patient had no systemic complaints, and her general health had been excellent. She denied experiencing excessive fatigue or having had loss of weight or minor infections. There was no family history of cutaneous disease.Examination discloses numerous nontender subcutaneous nodules on the trunk and the extremities. These are from the size of a pea to that of a cherry and are not symmetrically distributed. They are distinctly indurated. The skin is normal over some lesions and assumes a bluish red color over others.A biopsy had been performed, and the slide was at
Appel B, Crawford GM. NEW ENGLAND DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1947;55(5):711–719. doi:https://doi.org/10.1001/archderm.1947.01520050113019
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