Boeck's Sarcoid. Presented by Dr. Max Wolf.
A middle-aged Puerto Rican woman noticed a lump above the right clavicle five years ago. A lymph node biopsy at the time (Tumor Clinic, Mount Sinai Hospital) revealed epithelioid tubercles without caseation. Biopsies of three Kveim test sites (performed with three different antigens, on the inner surface of the right forearm) showed positive findings. Since June, 1956, recurrent eruptions on arms and on the back have occurred. About the same time some changes at the sites of the former Kveim tests were noticed.
Examination now reveals three round dimesized bluish atrophic areas on the inner aspect of the right forearm. On the lateral aspect of the right upper arm there is a 2×3 cm., erythematous, flat, slightly infiltrated plaque surrounded by a whitish halo. A similar lesion is present on the volar aspect of the right thigh. Smaller macular patches are
Pascher F, Silver H. BRONX DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1957;76(6):794–801. doi:10.1001/archderm.1957.01550240112029
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