Rare Scar Sarcoidosis: A Dermatologic Masquerader

Authors

  • Richmond Ronald Gomes Associate Professor, Department of Medicine, Ad-din Women’s Medical College & Hospital, Dhaka
  • Md Rashidul Hasan Associate Professor, Department of Dermatology and Venereology, US-Bangla Medical College & Hospital, Narayanganj
  • Athai Majumder Honorary Medical Officer, Department of Medicine, Ad-din Women’s Medical College Hospital, Dhaka
  • Kazi Tamanna Akter Honorary Medical Officer, Department of Medicine, Ad-din Women’s Medical College Hospital, Dhaka

DOI:

https://doi.org/10.3329/jemc.v10i2.53539

Keywords:

Sarcoidosis; Scar; Granuloma; Fine needle aspiration cytology (FNAC)

Abstract

Infiltration of sarcoid granuloma in old cutaneous scars is one of the uncommon cutaneous manifestations of sarcoidosis. Here we report the case of a 32-year-old female who presented with swelling and irritation in a 9-month-old appendicectomy scar. An incisional scar biopsy was done and it revealed non-caseating granuloma. On query she had inflammatory polyarthritis and persistent dry cough for last two months. High resolution CT (HRCT) revealed right paratracheal, both hilar, paraaortic, and subcarinal lymphadenopathy with pulmonary nodular densities in both lung fields. FNAC from mediastinal node revealed non-caseating granuloma consistent with sarcoidosis. Successful regression of cutaneous inflammation was achieved using a course of oral steroids, hydroxychloroquine and methotrexate. The incidence of scar sarcoidosis is rare and therefore not well-understood. However, inflammatory alterations in preexisting scars may be important indicators of disease onset.

J Enam Med Col 2020; 10(2): 122-125

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Published

2021-05-22

How to Cite

Gomes, R. R., Hasan, M. R., Majumder, A., & Akter, K. T. (2021). Rare Scar Sarcoidosis: A Dermatologic Masquerader. Journal of Enam Medical College, 10(2), 122–125. https://doi.org/10.3329/jemc.v10i2.53539

Issue

Section

Case Reports