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Hsin-Wei Huang; Lai-San Wong; Chih-Hung Lee (2016)
Publisher: Elsevier
Journal: Zhōnghuá Pífūkē Yīxué Zázhì
Languages: English
Types: Article
Subjects: Dermatology, noncaseating granuloma, lymphedema, sarcoidosis, RL1-803
Sarcoidosis is a granulomatous disease, characterized microscopically by noncaseating granulomas, which may involve multiple organs; however, the lung, skin, and lymph nodes are commonly affected. Sarcoidosis is a great imitator; in the skin, it presents with different cutaneous manifestations including lupus pernio, infiltrated plaques, maculopapular eruptions, infiltration of old scars, and subcutaneous sarcoidosis. Lymphedema as an initial presentation is extremely rare; cases are reported in African-American but not Asian patients. Lymphedema associated with sarcoidosis may result from lymphatic obstruction by infiltrating sarcoidosis. We present a case where the symptoms and signs of sarcoidosis were improved after treatment with systemic steroids.
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