Sarcoid tumors of the skin with report of a case of the Boeck type / by George Henry Fox and Udo J. Wile.

  • Fox, George Henry, 1846-1937.
Date:
1911
Catalogue details

Licence: In copyright

Credit: Sarcoid tumors of the skin with report of a case of the Boeck type / by George Henry Fox and Udo J. Wile. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    George Henry Fox, M.D., New York, and Udo J. Wile, M.D., New York. UNDER the name of sarcoid tumors Kaposi,1 in the fifth edition of his “Lehrbuch der Hautkrankheiten,” provisionally grouped mycosis fungoides, lymphoderma perniciosum and sarcomatosis cutis. His object was to point out the nosological re- lation between sarcoma and certain granulomata of probable infec- tious origin. Spiegler,2 Max Joseph,3 Fendt4and others adopted the name, but restricted it to a group of neoplasmata composed of round cells and characterized by a limited growth and comparative benig- nancy. In 1899, Boeck5 published in The Journal a notable article on “Multiple Benign Sarcoid of the Skin.” In this he reported a hitherto undescribed dermatosis for which he claimed a characteristic and unmistakable clinical as well as histological appearance. Cases of an identical or similar nature have since been reported by observers in various countries and a rather extensive literature on the subject of this rare disease has already developed. In America the only cases reported are those of Gottheil0 and Pollitzer.7 Since his first com- munication Boeck8 0 has reported a series of cases and elaborated on his early observations. In 1904, Darier and Raussy10 described under the name of subcutaneous sarcoid, an affection closely resembling that of Boeck though differing from it in various anatomical and clinical features. From their cases and those reported by others and from the various discussions of the subject of sarcoid tumors, it is evident that while the clinical features of this group are sufficiently charac- teristic to render a diagnosis easy, there is a notable variation in the histopathology. Great credit is due to Darier11 for an exhaustive study of the subject of both cutaneous and subcutaneous sarcoids and of their relationship to sarcoma, lymphoderma and tuberculosis. From a careful review of the literature he arrives at the conclusion that the reported .cases may be classified under four distinct types, as follows : 1. The multiple benign sarcoid of Boeck. 2. The subcutaneous sarcoid of Darier and Roussy. *Rcad before the 35th Annual Meeting of the American Dermatological Asso- ciation, Boston, Mass., May 25-27, 1911.