Korean J Fam Med.  2017 Jul;38(4):226-228. 10.4082/kjfm.2017.38.4.226.

I Can Not Wear My Sunglasses: An Unusual Sarcoidosis Presentation

Affiliations
  • 1Department of Internal Medicine Unit, University Hospital Salamanca, Salamanca, Spain. jpmiramontes@hotmail.com
  • 2IBSAL, Institute Biomedical Research of Salamanca, Salamanca, Spain.
  • 3Department of Dermatology, University Hospital Salamanca, Salamanca, Spain.

Abstract

A 39-year-old Caucasian man was referred to University Hospital Salamanca from a primary care unit due to the presence of an erythematous violaceous nodule at the superior portion of his nose. Physical examination indicated that the firm, fixed erythematous violaceous nodule measured approximately 2 cm in diameter and was located inferior to a scar on the nasal bridge. Cutaneous involvement in sarcoidosis occurs in 25% of cases. A wide range of clinical presentations of cutaneous sarcoidosis is recognized. Skin lesions are classified as either non-specific, of which erythema nodosum is the most representative and specific, or as granulomatous, which includes maculopapular nodules, plaques, infiltrated scars, lupus pernio, ulcerations, warty lesions and erythroderma. Scar sarcoidosis is a type of cutaneous sarcoidosis.

Keyword

Cicatrix; Sarcoidosis; Cutaneous

MeSH Terms

Adult
Chilblains
Cicatrix
Dermatitis, Exfoliative
Erythema Nodosum
Humans
Nose
Physical Examination
Primary Health Care
Sarcoidosis*
Skin
Ulcer
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