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2012, Number 5

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Rev Med Inst Mex Seguro Soc 2012; 50 (5)

Cutaneous sarcoidosis. Case report

Fernández-Sánchez M, Saeb-Lima M

Language: Spanish
References: 18
Page: 541-544
PDF size: 96.65 Kb.


ABSTRACT

Background: sarcoidosis is a multisystemic disease in which naked granulomas are present. Its etiology is unknown and diagnosis requires demonstration of naked granulomas in more than two organs and the exclusion of other pathologies. One third of patients have skin involvement. Sarcoidosis rarely affects Mexican patients.
Clinical case: 40 year-old female patient who received a complete scheme treatment for pulmonary tuberculosis suspicion previously. She presented several months before, a hypo-pigmented, alopecic and atrophic patch in the frontal scalp with papular and erythematous edge, as well as cough, shortness of breath, neuropathy and cardiac dysfunction. Lymph node and skin biopsy showed the presence of sarcoidal granulomas.
Conclusions: sarcoidosis is a systemic disease that rarely affects Mexican patients. Skin lesions are usually unspecific but biopsy helps confirm diagnosis in patients who present also affection of other organs.



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