Cutaneous sarcoidosis: preamble of the systemic disease
Keywords:
sarcoidosis, granuloma, cutaneous manifestations, biopsyAbstract
Sarcoidosis is a multisystemic granulomatous disease of unknown etiology with multiple clinical manifestations. The essential histopathologic feature is uniform non-caseating granulomas with few peripheral lymphocytes (naked granulomas). We present the case of a 62-year-old male patient who came to the emergency room due to a dry cough, shortness of breath, swollen axillary glands and skin lesions, in the form of plaques, macules, and others with a psoriasiform appearance. The clinical manifestations, the results of the complementary tests and when making the differential diagnosis with other conditions that present similar findings, the diagnosis of systemic sarcoidosis was reached. The patient evolved favorably with the indicated treatment. The cutaneous involvement of sarcoidosis represents a challenge given the varied presentation of this entity and the differential diagnoses to be considered.
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