This case of Boeck's sarcoid involving the face and the larynx is being reported because of the unusual distribution of the lesions and particularly because of the laryngeal involvement. Careful review of the "Quarterly Cumulative Index Medicus" has failed to disclose more than two reports of Boeck's sarcoid of the larynx.Seiferth1 observed a patient with Boeck's sarcoid of the skin of the face, which occurred together with a fibrous swelling in the region of the epiglottis, partially obstructing the glottis. This patient also had pulmonary involvement.Poe2 in 1940 and again in 1942 fully described the case of a middle-aged Negro woman with Boeck's sarcoid, who had multiple involvement of the upper respiratory tract. The patient had lesions of the nose, the cheek, the nasal septum, the lips, the hard palate, the soft palate, the uvula, the false vocal cords, the arytenoid cartilages and possibly the epiglottis. The disease was symptomless except for epistaxis and hoarseness. The patient also had involvement of the legs, the arms, the fingers and the nails, with "characteristic lesions of Boeck's sarcoid." The external lesions were without ulcération and were rubbery in consistency. Tuberculin tests were negative, and the character of the lesions was demonstrated by histologie examination.Poe stated that he was the first to describe clin¬ ical multiple benign sarcoid lesions of the Boeck type of the entire upper respiratory tract.Boeck's sarcoid is known under a number of names.
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