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Sarcoid. Presented by Dr. Herman Beerman and (by invitation) Dr. Raymond Krain, Dr. Harold Colburn, and Dr. James B. Homan.
E. F., a Negro woman aged 50, well nourished, in no apparent distress, presents multiple violaceous tumors on the face, ears, and fingers. There is a scaling erythematous plaque on the right arm. The lesions first appeared 14 years ago as "little bumps" on the face and progressed to involve extensive portions of the face, chest, and fingers. She has been studied at various Philadelphia institutions.
Examination of the heart and lungs showed no abnormality. There was no adenopathy. One biopsy was reported granuloma compatible with sarcoid, the other showed sarcoidosis. Roentgenograms of the chest, hands, and feet showed no abnormalities. Purified protein derivative gave a 2 + reaction. The albumin-globulin ratio was normal.