Extensive panniculitis of the abdominal wall. An unusual presentation of sarcoidosis
Keywords:
sarcoidosis, paniculitis, cutaneous manifestationsAbstract
The involvement of the skin in sarcoidosis is present in about 5
to 35% of cases, and it may be the initial manifestation of the disease.
The authors describe the clinical case of a 34 year old female
patient, hospitalized with high fever, a 20kg weight loss and an
extensive paniculitis of the inferior quadrants of the abdomen,
with about 2 months of evolution.
The biopsy revealed a granulomatous lobular paniculitis without
vasculitis and without caseous necrosis of sarcoidosis type.
All the other diseases that can cause a lobular paniculitis without vasculitis were excluded.
The patient evolved favourably with the institution of oral corticotherapy and the follow-up at 3 years excluded the involvement
of other organs.
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