Related Experiment Videos
Cutaneous sarcoidosis presenting as leonine facies
Christina G Kendrick1, Rachel A Brown, Rachel Reina
1Department of Dermatology, Louisiana State University Health Sciences Center, 1542 Tulane Ave, Room 634, New Orleans, LA 70112, USA. ckendrick@cox.net
Cutis
|February 18, 2004
Summary
Cutaneous sarcoidosis can mimic other conditions. This case highlights a rare presentation of tumoral sarcoidosis with leonine facies and madarosis, diagnosed via skin biopsy showing noncaseating granulomas.
Area of Science:
- Dermatology
- Pathology
Background:
- Cutaneous sarcoidosis presents a diagnostic challenge due to its varied clinical manifestations.
- It can mimic numerous other dermatological conditions.
Observation:
- A 56-year-old African American male presented with a year-long history of facial nodules and plaques.
- This led to a leonine appearance and madarosis (loss of eyebrows/eyelashes).
Findings:
- Skin biopsy confirmed cutaneous sarcoidosis by revealing noncaseating granulomas.
- The biopsy excluded foreign body, mycobacterial, and deep fungal infections.
- Systemic workup found no other comorbidities.
Implications:
- This case represents a rare instance of tumoral sarcoidosis presenting with leonine facies.
- Unlike previously reported cases, this presentation was isolated without systemic involvement.
- Highlights the importance of considering sarcoidosis in unusual facial dermatological presentations.