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manifestations, one rarely hears of sarcoid. The fact that there may be ex-tensive involvement of the viscera and bones in addition to skin lesions appears to be quite generally unknown among internists though such cases were de-scribed over 20 years ago. When the skin manifestations are slight or even absent and the other lesions pronounced, a difficult diagnostic problem is pre-sented as the case here reported illustrates. CASE REPORT W. C, aged 14 years, was referred to me January 16, 1929, for examination be-cause of cough. His general health had been good except that he suffered consid-erably from sinus disease. It had been observed that the cough was worse when he was having discharge from his sinuses. His appetite was excellent. He was quite free from symptoms other than the cough. Examination: He was a frail lad with a flat, narrow chest. Height 65 inches; weight 105 lbs. Cervical glands showed slight enlargement. Pulse was 72 and tem-perature normal. The tonsils did not appear to be infected. With inspiration there was retraction of the lower third of the sternum and also of the epigastrium. Ther

Year: 2016
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