Popis: |
This case is reported because of its interesting features and because it illustrates the use of a new diagnostic aid in confirming a clinical impression of pulmonary sarcoidosis. Frequently a histological diagnosis of Boeck's sarcoid is impossible because there is no superficial lymphadenopathy. In a series of such cases recently reported, a method of obtaining lymph nodes or lymphoid tissue from the fat-filled space overlying the scalenus anticus muscle was described by Daniels.1 REPORT OF CASE The patient, a 48 year old man, was admitted April 5, 1949 "for a check-up." In November 1941 he had had influenza, which persisted despite the usual palliative measures. He was studied at a hospital for six weeks. Because of the chronic cough with expectoration of mucoid sputum, weight loss, fatigue, increased erythrocyte sedimentation rate and appearance of the chest roentgenogram, a diagnosis of pulmonary tuberculosis was made. Results of the sputum studies |