A Misdiagnosed Case of Cutaneous Sarcoidosis: A Case Report and Review of Literature
Ghada E. Esheba1,2*, Asmaa A. Alabbadi3, Hams A. Aljuaid3, Donia J. Alghamdi3, Rawazen M. Aljuaid3, Maysam T. Alsulimani3
1Department of Pathology, Faculty of Medicine, Tanta University, Egypt.
2Department of Pathology, Security Forces Hospital, Makkah, Saudi Arabia
3Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia
*Corresponding author:Ghada Elsayed Esheba; [email protected]
Abstract:
Background:Sarcoidosis is a multi-systemic disease that may affect any organ or system. The lungs are the most common affected organ. Extrapulmonary sarcoidosis is rare and cutaneous involvement is the most common extrapulmonary presentation. Cutaneous sarcoidosis is a challenging disease due to its diversity and resemblance to various skin diseases.Case Report:We present here a case of cutaneous sarcoidosis without pulmonary involvement. A 47-year-old woman presented with red papules on face one year ago. She was diagnosed as a case of acne vulgaris; however, the skin lesions were resistant to treatment. The patient then developed similar papules on nose, arms, and chest. A skin biopsy showed non-caseating granulomas and systemic workup for sarcoidosis was positive. The patient was eventually diagnosed with sarcoidosis and she was treated by mometasone furoate 0.1% cream and tacrolimus. The skin lesions resolved completely after two months of the treatment.Conclusion:This case report spots the light on the importance of considering sarcoidosis in the differential diagnosis of any refractory skin lesions and underscore the significance of early identification of skin manifestations of sarcoidosis, which may predict the development of systemic disease. Patients with CS should be regularly followed up and closely monitored to detect early systemic involvement regardless of the extent of cutaneous involvement.
How to Cite: Esheba, G.E.; Alabbadi, A.A.; Aljuaid, H.A.; Alghamdi, D.J.; Aljuaid, R.M.; Alsulimani, M.T. A Misdiagnosed Case of Cutaneous Sarcoidosis: A Case Report and Review of Literature.STJ,2024,1,24-29.https://doi.org/10.70957/uqu.edu.sa/s.toxicology.s/stj.2024.1.3
Received: 4 December 2024, Accepted: 14 December 2024, Published: 19 December 2024
Copyright: © 2024 by the authors. Licensee Umm Al-Qura University, Makkah, Saudi Arabia. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).