Skinsarcoidosis: A trick for primary case physicians

Abstract

Sarcoidosis is a systemic disease of unknown etiology. Skin lesions occur in about a quarter of patients with sarcoidosis and specific manifestations include erythema nodosum, maculopapular eruption, plaques, lupus pernio and scar sarcoidosis. A 39-year old male presented with cutaneous involvement of sarcoidosis. The skin biopsy revealed non-caseating granuloma. Our patient had skin manifestation of makulopapular eruption form of skinsarcoidosis along with hilar and mediastinal lymphadenopathy. The 40 mg/day oral methylprednisolone was started and skin lesions were fully recovered. We report a case of skin involvement as a first sign of sarcoidosis.

Lymphadenopathy and Granulomas: Benignancy of Malignancy and Differential Diagnosis with Endobronchial Ultrasound-Transbronchial Needle Biopsy 19G Needle Fine-Needle Aspiration Biopsy

“…Moreover; there are cases where we have enlarged mesothoracic lymph nodes and also lesions within the lung parenchyma or even pleura effusion; these findings can be all manifestations of sarcoidosis or other collagen disease [ 21–23 ]. There is also the case of skin and subcutaneous manifestation of sarcoidosis [ 24 , 25 ]. Current technology allows us to perform biopsies of the mesothoracic lymph nodes efficiently and safely.…”