Arch Craniofac Surg.  2017 Sep;18(3):207-210. 10.7181/acfs.2017.18.3.207.

Subcutaneous Sarcoidosis Occurring in Both Chin and Toe

• Kim KS
• Lim DS
• Choi JH
• Hwang JH
• Lee SY

• KMID: 2390358
• DOI: http://doi.org/10.7181/acfs.2017.18.3.207

Abstract

Sarcoidosis is a systemic inflammatory disease characterized by non-caseating granulomas of unknown origin. Of the fewer than 6% of sarcoidosis cases that occur in subcutaneous tissue, most occur on the face or forearm, but rarely in the toe. A 33-year-old man was admitted to our institute with a 2-cm mass on his chin and a 0.5-cm mass on his right fourth toe. Based on preoperative ultrasonography, epidermal cysts were suspected, and histopathological tests were performed after removing the masses. Histopathologically, the chin and toe tissue samples showed chronic granulomatous inflammation, without necrosis, indicative of sarcoidosis. Chest computed tomography revealed a large number of small nodules in both the interlobar fissures and the peribronchial area, and a large number of small lymph nodes in both the hilar and interlobar node areas. On the basis of the histopathologic and imaging findings, the patient was diagnosed with sarcoidosis. This very rare case of sarcoidosis, occurring in both chin and toe, suggests that thorough evaluation is needed to find other mass when we find sarcoidosis in facial area.

Keyword

Face; Toes; Subcutaneous tissue; Sarcoidosis

MeSH Terms

Adult
Chin*
Epidermal Cyst
Forearm
Granuloma
Humans
Inflammation
Lymph Nodes
Necrosis
Sarcoidosis*
Subcutaneous Tissue
Thorax
Toes*
Ultrasonography