Scar Sarcoidosis at the Site of Liposuction With Progression to Systemic Sarcoidosis

Sarcoidosis is a multisystem autoimmune disease characterized by the formation of granulomas that can either be limited to the skin as cutaneous sarcoidosis or have systemic involvement affecting multiple organs. Here, we present the case of a 46-year-old female patient who presented with erythematous, non-tender, enlarging skin nodules at the site of a previous liposuction surgery. A biopsy of the skin nodule suggested cutaneous sarcoidosis. Years later, she then developed symptoms of abdominal pain, joint pain, and dyspnea. Further workup revealed progression to systemic sarcoidosis involving multiple organs. Our report emphasizes the importance of including sarcoidosis in the differential for new, enlarging nodules at the sites of previous surgeries. Suspicious skin lesions should be biopsied promptly to help ensure early detection and treatment. We also discuss the importance of continued monitoring of patients with cutaneous sarcoidosis for signs of progression to systemic involvement.