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Article
December 1950

DETROIT DERMATOLOGICAL SOCIETY

Author Affiliations

President; Recorder; Nov. 16, 1949

AMA Arch Derm Syphilol. 1950;62(6):935-938. doi:10.1001/archderm.1950.01530190169019

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Abstract

Histoplasmosis Involving Tongue, Larynx, Lungs and Probably Liver. Presented by Dr. Franz Blumenthal and Dermatological Staff of Wayne County General Hospital, Eloise, Mich.

J. G., a 63 year old white man, acquired an ulcer of the tongue in December 1948. Later he became hoarse and lost 7 pounds (3 Kg.). When first seen he presented a deep ulcer (1 by 1.5 cm.) on the anterior right side of the tongue. The liver was felt 8 cm. below the right costal margin. A biopsy of the tongue showed chronic granulomatous inflammation and bodies resembling Histoplasma capsulatum, and a liver biopsy showed miliary granulomas but no micro-organisms. H. capsulatum was isolated in cultures from tongue, stools and bronchial secretions. No acid-fast bacilli were found on repeated examinations. Guinea pig inoculation showed reticulum cell hyperplasia of the spleen.

Treatment consisted of the administration of copper sulfate, ¼ grain (15 mg.) three times

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