Usual and Unusual Manifestations
نویسنده
چکیده
A 48-year-old black woman presented to the University Hospital Medical Center in 1978 with skin lesions. A chest radiograph obtained in 1970 was essentially normal. In March of 1978, she developed small nodules in both lungs and fullness in both hila. Bed rest and various creams for the skin lesions were prescribed. In November of 1978 she developed diffuse bilateral infiltrates and hilar adenopathy (Fig 1). A skin biopsy showed noncaseating granulomas. The patient was treated with prednisone for symptoms of cough, shortness of breath, arthralgias, and skin rash. Over the next five months her chest x-ray films showed improvement, and she was gradually taken offher steroid regimen. By 1981, her chest
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