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November 1959

Sudden Death Due to Myocardial Sarcoidosis, with a Comment on the Etiology of Sarcoid

Author Affiliations

Durham, N. C.

Assistant Resident in Pathology (Dr. Poon), and Professor and Chairman of the Department of Pathology (Dr. Forbus), The Duke University School of Medicine.

AMA Arch Intern Med. 1959;104(5):771-778. doi:10.1001/archinte.1959.00270110091011

Only 33 cases of sarcoid of the heart have been reported in world literature up to 1958. Of these, sudden death occurred in 15 cases. The commonest age group (at death) in the series was 40 years or older.1 The male was more frequently affected than the female. Sarcoidosis of the heart has not been observed as a cause of death in children. This disease is most widely distributed in Scandinavia and in the southeastern United States.2,3 Most of the cases were found in American Negroes. The following two new cases were in the white race; one of the patients was a woman. Both patients died suddenly.

Report of Cases 

Case 1.—Clinical Summary.  —The patient was a 24-year-old white man, who was a senior medical student. He was apparently well until the approximate age of 12 years. After a summer camp vacation, he noticed a few nodules on the medial

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