CUTANEOUS SARCOIDOSIS IN A MIDDLE EASTERN MALE: A CASE REPORT

Abstract

Sarcoidosis is a multi-systemic granulomatous disorder of unknown etiology that can affect multiple organs, with the lungs and intrathoracic lymph nodes being the most involved. The skin is another organ that can be involved in systemic sarcoidosis. However, primary cutaneous sarcoidosis has been reported in about 25% of cases.

 Primary cutaneous sarcoidosis is a diagnostic challenge due to its heterogenicity and resemblance of other dermatologic conditions. In such cases clinicopathological correlation plays a crucial role in identification, prognosis and mangement of the disease.

 Documentation of case reports allows a better understanding of primary cutaneous sarcoidosis, its presentation diagnostic challenges and patient’s manegement. In this case report we review a case of a 44-year-old male patient from middle east who presented with primary cutaneous sarcoidosis. The patient presented to the dermatology department with a non-itchy, erythematous papule without scales at the left shoulder for two months duration. Skin punch biopsy demonstrated an intradermal nodule of non-necrotizing well-defined granulomas. Chest imaging didn’t show any pulmonary sarcoidosis. Cutaneous sarcoidosis can present with different manifestations; thus early identification helps in early intervention.