Cutaneous sarcoidosis: a case report from North-East India

Authors

  • Nandakishore Thokchom Department of Dermatology, Venereology and Leprology, Regional Institute of Medical Sciences, Imphal, Manipur, India
  • Linda Kongbam Department of Dermatology, Venereology and Leprology, Regional Institute of Medical Sciences, Imphal, Manipur, India
  • Nandita Bhattacharjee Department of Dermatology, Venereology and Leprology, Regional Institute of Medical Sciences, Imphal, Manipur, India

DOI:

https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20194696

Keywords:

Cutaneous sarcoidosis, Granuloma, Non-caseating, Renal calculi

Abstract

Sarcoidosis is a multisystem granulomatous disease of unknown aetiology. Cutaneous sarcoidosis is seen in up to one-third of patients and may be the first or the only clinical sign of the disease. We report a case of cutaneous sarcoidosis with lungs and renal involvement in a 28-year-old housewife. She presented with itchy reddish-brown indurated plaques on left cheek and back for 2 years. Skin biopsy revealed non-caseating epithelioid granulomas. Contrast enhanced computed tomography thorax showed focal consolidation and multiple enlarged mediastinal lymph nodes and serum angiotensin-converting enzyme level was raised. Since cutaneous manifestations of sarcoidosis are extremely variable, its early recognition can provide a clue to the diagnosis and its systemic involvement. 

References

Samtsov AV. Cutaneous sarciodosis. Int J Dermatol. 1992;31:385-91.

Costabel U, Hunninghake GW. ATS/ERS/WASOG statement on sarcoidosis. Sarcoidosis statement committee. American thoracic society. European respiratory society. World association for sarcoidosis and other granulomatous disorders. Europ Respirator J. 1999;14(4):735-7.

Gupta SK. Sarcoidosis: The Indian scene. Indian J Clin Pract. 1993;3:19-27.

Rosenbach MA, Wanat KA, Reisenauer A, White KP, Korcheva V, White CR. Non-infectious Granulomas. In: Bolognia JL, Schaffer JV, Cerroni L, editors. Dermatology. 4th ed. China: Elsevier limited; 2018: 1644-1663.

Mahajan VK, Sharma NL, Sharma RC, Sharma VC. Cutaneous sarciodosis: clinical profile of 23 Indian patients. Indian J Dermatol Venereol Leprol. 2007;73:16-21.

Rizzato G, Fraioli P, Montemurro L. Nephrolithiasis as a presenting feature of chronic sarcoidosis. Thorax. 1995;50(5):555-9.

Haimovic A, Sanchez M, Judson MA, Prystowsky S. Sarcoidosis: a comprehensive review and update for the dermatologist: part I. Cutaneous disease. J Am Acad Dermatol. 2012;66(5):699-e1.

Katta R. Cutaneous sarcoidosis: a dermatologic masquerader. Am Fam Physician. 2002;65:1581-4.

Downloads

Published

2019-10-21