Circinate Sarcoid. Presented by Marjorie Bauer, M.D. and (by invitation) Oran J. Shannon, M.D.
Discussion
Edward L. Laden, M.D.: We mentioned under significant personal history that the patient had lived in Florida from birth, and that Australian Pines were prevalent in that area, in order to draw attention to the fact that recent epidemiological studies have indicated a possible etiologic relationship between exposure to certain types of pines and the occurrence of sarcoidosis. In line with this, there is an article which has recently appeared in the literature reporting the occurrence in three Negro sibling children of sarcoidosis. (Kendig, E. L., Jr., and others: New England J. Med. 260:962, 1959). They live in the area of Richmond, Virginia, which, as was mentioned in the article, is an area where these pines grow. There is also a high incidence of known sarcoidosis in this area. It stated that in a population