PATHOLOGIC QUIZ CASE 1
Paul A. Levine, MD, Eiji Yanagisawa, MD, New Haven, Conn
A 24-year-old black woman noted the onset of bilateral nasal stuffiness about one year prior to hospital admission. Eight months later, she developed multiple, painless, nontender, diffuse corporeal subcutaneous nodules. This was associated with dryness of mouth, without headache, nasal discharge, pain, or epistaxis, and there was no complaint of fever, malaise, chills, or night sweats. Results of the initial evaluation, including autoimmune parameters, were within normal limits, with the exception of a borderline-positive latex fixation test and a chest roentgenogram that showed bilateral prominent hilar adenopathy. Sinus films were normal.A biopsy specimen of an antecubital subcutaneous nodule was nondiagnostic, and the cultures for fungus and tuberculosis were negative. Subsequent microscopic examination of a lymph node of the groin, which later became enlarged, was also nondiagnostic.An otolaryngologic consultation was then requested. The results
FECHNER RE. Resident's Page. Arch Otolaryngol. 1979;105(2):108–111. doi:10.1001/archotol.1979.00790140054009
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