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Childhood sarcoidosis presenting with extensive cutaneous lesions, bilateral hilar lymphadenopathy and severe
Neil J Mortimer1, Michael J Sladden, Sarah E Hill
1Department of Dermatology, Leicester Royal Infirmary, Leicester, UK. njmort2002@yahoo.com
Abstract:
A 9-year-old boy with a history of atopic dermatitis presented with a 4-month history of an asymptomatic papular eruption. This was predominantly perioral in distribution with lesser involvement of the neck, arms and trunk. Investigations revealed severe hypercalcaemia of 3.77 mmol/L (normal range 2.10-2.60) and bilateral hilar lymphadenopathy. The diagnosis of sarcoidosis was supported by granulomata in skin and lymph node biopsies on histopathological examination. Prednisolone (2 mg/kg/day) rapidly normalized serum calcium.
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