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Lichenoid Sarcoid with Splenomegaly. Presented by Dr. Charles Wolf.
E., a married Negro woman aged 38, born in the United States, gives no history of tuberculosis and syphilis or any other serious illness. The patient states that nodules appeared on the legs about one year ago. After an injury to the legs the lesions broke down, healed without medication and left numerous scars.
The patellar regions, thighs, buttocks and abdomen reveal numerous papules ranging in size from that of a pinhead to that of a millet seed. On the upper lip, nose and cheeks the papules are closely aggregated. Oval plaques, smooth in the center and surrounded by papules the size of a pinhead, are seen on the forehead. On the palpebral surface of the conjunctivas there are similar minute papules which an ophthalmologist considered sarcoid.
On physical examination the abdomen was seen to be distended. On palpation, the spleen
Sayer A, Silver H. BRONX DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1950;62(1):155–163. doi:10.1001/archderm.1950.01530140159023
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