Lymphoblastoma. Presented by Dr. W. II. Guy and Dr. B. A. Goldmann.
S. K., a white man, aged 47, presented a confluent, maculopapular, coppery-red eruption involving the chest, abdomen and anterior surfaces of the thighs with a generalized discrete almond-sized adenopathy. Subjectively a feeling of coldness was noted. Pruritic symptoms were absent. This condition began in April, 1932, and since then the patient has lost 3 pounds (1.4 Kg.). The Wassermann test was negative. Red blood cells numbered 3,920,000, and white blood cells, 12,850; the hemoglobin was 82 per cent; there were 52 per cent polymorphonuclears, 22 per cent lymphocytes, and 26 per cent eosinophils. The urine was normal.
A microscopic section of a gland showed marked hyperplasia but no destructive changes suggesting Hodgkin's disease. Sections of the skin showed a granulomatous type of infiltration.
A Case for Diagnosis. Presented by Dr. H. T. Phillips and Dr. W. Morginson