Extensive panniculitis of the abdominal wall. An unusual presentation of sarcoidosis

Authors

  • Teresa Martins Serviço de Doenças Infecciosas do Hospital de Curry Cabral, Lisboa
  • Ana Serrano Serviço de Doenças Infecciosas do Hospital de Curry Cabral, Lisboa
  • João Machado Serviço de Doenças Infecciosas do Hospital de Curry Cabral, Lisboa
  • Cândida Fernandes Serviço de Doenças Infecciosas do Hospital de Curry Cabral, Lisboa
  • Fernando Maltez Serviço de Doenças Infecciosas do Hospital de Curry Cabral, Lisboa

Keywords:

sarcoidosis, paniculitis, cutaneous manifestations

Abstract

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.

Downloads

Download data is not yet available.

References

Weinberger, Steven. Sarcoidosis in Cecil Textbook of Medicine, 22th ed 2004; 1044-1049.

Newman LS, Rose CS, Maier LA. Sarcoidosis. N Engl J Med 1997; 336: 1224-1234.

Joseph C English III MD, Purvisha J. Patel BA, Kenneth E. Greer MD. Sarcoidosis. J Am Acad Dermatol 2001; 44 (5): 725-743.

Mana Juan MD, Marcoval, Joaquim MD, Graells, Jordi MD, Salazar, Albert MD. Cutaneous involvement in sarcoidosis. Arch Dermatol 1997;133(7): 882-888.

Velen NK, Stahl D, Brodthagen H. Cutaneous sarcoidosis in Caucasians. J Am Acad Dermatol 1987; 16: 534-540.

Elgart ML. Cutaneous Sarcoidosis definitions and types of lesions. Clin Dermatol 1986; 4: 34-35.

Olive K, Kataria YP. Cutaneous mainfestations of sarcoidosis: relationships to other organ system involvement, abnormal laboratory measurements and disease course. Arch Intern Med 1985; 145: 1811-1814.

Epstein WL, James DG. Multiple benign sarcoidosis of the skin. Arch Dermatol 1999; 135: 1450

Jorge M Sousa Pinto. Tuberculose cutânea in A Tuberculose na Viragem do Milénio. Lidel- Ed Técnicas. Março 2000: 198-207.

Parker F. Cutaneous manifestations of internal malignancy. In Cecil Textbook of Medicine, 22th ed: 2004: 1044-1049.

Additional Files

Published

2009-09-30

How to Cite

1.
Martins T, Serrano A, Machado J, Fernandes C, Maltez F. Extensive panniculitis of the abdominal wall. An unusual presentation of sarcoidosis. RPMI [Internet]. 2009 Sep. 30 [cited 2024 Nov. 21];16(3):161-3. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/1414

Issue

Section

Case Reports

Most read articles by the same author(s)