A Case of Scar Sarcoidosis

피부반흔에서 발생한 유육종증 1례

  • Kim, Sun Goo (Department of Plastic and Recontructive Surgery, Gachon University of Medicine and Science, Gil Hospital) ;
  • Yi, Tae Min (Department of Plastic and Recontructive Surgery, Gachon University of Medicine and Science, Gil Hospital) ;
  • Kim, Yu Jin (Department of Plastic and Recontructive Surgery, Gachon University of Medicine and Science, Gil Hospital) ;
  • Lee, Se Il (Department of Plastic and Recontructive Surgery, Gachon University of Medicine and Science, Gil Hospital)
  • 김선구 (가천의과학대학교 길병원 성형외과학교실) ;
  • 이태민 (가천의과학대학교 길병원 성형외과학교실) ;
  • 김유진 (가천의과학대학교 길병원 성형외과학교실) ;
  • 이세일 (가천의과학대학교 길병원 성형외과학교실)
  • Received : 2010.08.15
  • Accepted : 2010.11.25
  • Published : 2011.04.10

Abstract

Purpose: Sarcoidosis is a systemic noncaseating granulomatous disease of an unknown origin, and can involve any organ including the skin. The infiltration of sarcoid granuloma in an old cutaneous scar is an uncommon cutaneous manifestation of sarcoidosis. This paper reports a 35-year old female who presented with cutanesous nodules in previous facial scars. Methods: A 35-year-old female presented with cutaneous nodules for 2 months in previous scars of the forehead and lower lip that she had acquired in the childhood. An excisional biopsy of the lower lip mass, serologic examinations and radiologic studies were performed. Results: The excisional biopsy revealed noncaseating granulomas consistent with sarcoidosis. Chest CT revealed both hilar and paratracheal lymphadenopathy with nodular densities in both lung fields. Routine laboratory tests, serologic tests, serum angiotensin converting enzyme level, sputum for acid-fast bacilli, ophthalmoscopic examination, TB-PCR and NTM-PCR showed normal findings. Therefore, the patient was diagnosed with sarcoidosis. The patient refused fiberoptic bronchoscopy and medication with oral steroid. Currently, the clinical manifestation and progress are being monitored closely, and treatment is expected to start with oral steroid according to the progress. Conclusion: For the proper management of cutaneous sarcoidosis, particularly scar sarcoidosis, plastic surgeons should be aware of the many clinical and histopathological features of sarcoidosis and recommend a systemic evaluation for early diagnosis and proper treatment.

Keywords

References

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