Ann Dermatol.  2009 May;21(2):168-170. 10.5021/ad.2009.21.2.168.

Cutaneous Sarcoidosis Presenting as Multiple Erythematous Macules and Patches

• Kang MJ
• Kim HS
• Kim HO
• Park YM

• KMID: 2219388
• DOI: http://doi.org/10.5021/ad.2009.21.2.168

Abstract

Sarcoidosis is an idiopathic multisystemic disorder with variable cutaneous presentations that are classified as specific or non-specific according to the presence of non-caseating granulomas on histologic examination. Specific manifestations can include papules, scar sarcoidosis, ulcers, or even alopecia. Herein, we present a case of cutaneous sarcoidosis that presented as multiple erythematous macules and patches on the trunk and extremities of a 32-year-old man. The clinical appearance was unlike any other form reported in the literature.

Keyword

Cutaneous sarcoidosis; Macules; Patches

MeSH Terms

Adult
Alopecia
Cicatrix
Extremities
Granuloma
Humans
Sarcoidosis
Ulcer

Figure

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  Fig. 1 Multiple erythematous, slightly scaly macules and patches on the back (A), thigh (B), and right arm (C).

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  Fig. 2 (A) Histologic examination shows a well-circumscribed, non-caseating granuloma in the lower dermis (H&E, ×100). (B) The magnified view shows a multinucleated giant cell within the granuloma (H&E, ×400). (C) Reticulum staining reveals numerous granulomas containing fibers stained black by silver granules, surrounding and permeating the granulomas (Reticulum stain, ×400).

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