Publication:

Cutaneous sarcoidosis: a case report from North-East India

Sarcoidosis is a multisystem granulomatous disease of unknown aetiology. Cutaneous sarcoidosis is seen in up to one-third of patients and may be the first or the only clinical sign of the disease. We report a case of cutaneous sarcoidosis with lungs and renal involvement in a 28-year-old housewife. She presented with itchy reddish-brown indurated plaques on left cheek and back for 2 years. Skin biopsy revealed non-caseating epithelioid granulomas. Contrast enhanced computed tomography thorax showed focal consolidation and multiple enlarged mediastinal lymph nodes and serum angiotensin-converting enzyme level was raised. Since cutaneous manifestations of sarcoidosis are extremely variable, its early recognition can provide a clue to the diagnosis and its systemic involvement.