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July 1966


Arch Dermatol. 1966;94(1):90-91. doi:10.1001/archderm.1966.01600250096021

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Lupus Vulgaris vs Traumatized Sarcoidosis. Presented by Dr. Irwin Kantor. 

History.—  The patient is a 77-year-old Italian man who injured his nose while visiting Italy in September of 1964. The injured area at the base of nose slowly enlarged to the present size.

Laboratory Studies.—  The following values were disclosed: protein, 7.3 gm/100 cc; albumin, 4.1 gm/100 cc; globulins, 3.2 gm/100 cc; hemoglobin, 14.5 gm/100 cc; white blood cell count (WBC), 10,000, with normal differential; venereal disease research laboratories test for syphilis (VDRL), negative; and tuberculin test, positive.Two biopsies were done, the first in June of 1965 and the second in October of 1965. They were read by Dr. Sachs as: "Lupus Vulgaris vs Traumatized Sarcoidosis." The patient was treated for two months with isoniazid (INH) 100 mg t.i.d. and Vitamin B6 25 mg b.i.d.

Discussion  Dr. Paul Gross: In view of the unusual history and

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