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B Rosenhammer1, B Bach, S Zoubaa

  • 1Klinik für Rheumatologie/Klinische Immunologie, Asklepios Klinikum Bad Abbach, Kaiser-Karl-V. Allee 3, 93077, Bad Abbach, Deutschland, bernd.rosenhammer@gmx.de.

Zeitschrift Fur Rheumatologie
|October 15, 2013
PubMed
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Systemic sarcoidosis, a disease causing granulomas, can present with varied skin lesions. This case highlights rare morphea-like skin involvement as an initial sign of systemic sarcoidosis.

Area of Science:

  • Dermatology
  • Rheumatology
  • Internal Medicine

Background:

  • Sarcoidosis is an idiopathic systemic inflammatory disease.
  • Characterized by non-caseating granulomas in affected organs.
  • Cutaneous manifestations are common but present heterogeneously.

Purpose of the Study:

  • To report a rare case of morphea-like skin involvement.
  • To emphasize the diagnostic significance of cutaneous manifestations in systemic sarcoidosis.

Main Methods:

  • Case report of a 66-year-old woman.
  • Clinical examination of localized skin indurations on forearms.
  • Diagnosis of systemic sarcoidosis based on clinical presentation and likely biopsy findings (implied).

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Main Results:

  • The patient presented with localized skin indurations on both forearms.
  • These lesions were diagnosed as morphea-like.
  • This presentation was identified as a rare manifestation of systemic sarcoidosis.

Conclusions:

  • Morphea-like skin lesions can be a rare presenting sign of systemic sarcoidosis.
  • Dermatologists should consider sarcoidosis in the differential diagnosis of unusual skin indurations.
  • Early recognition of cutaneous signs is crucial for diagnosing systemic sarcoidosis.