Norton S A, Chesser R S, Fitzpatrick J E
Department of Medicine, Fitzsimons Army Medical Center, Aurora, CO 80045.
Mil Med. 1991 Jul;156(7):369-71.
A man with hilar adenopathy had smooth firm purplish papules (lupus pernio) on his face and pseudofolliculitis barbae (PFB) in his beard area. Biopsies of papules of both the lupus pernio and the PFB revealed non-caseating granulomas consistent with sarcoidosis. This is the first case report of sarcoidosis infiltrating lesions of PFB and the first of lupus pernio co-existing with scar sarcoidosis. In persons with suspected sarcoidosis, enlarged lesions of PFB are sites suitable for confirmatory biopsy. In addition, persons who develop keloid-like papules within their PFB may be providing an early cutaneous clue to undiagnosed systemic sarcoidosis.
一名患有肺门淋巴结病的男性面部有光滑、坚实的紫色丘疹(冻疮样狼疮),胡须部位有须部假性毛囊炎(PFB)。冻疮样狼疮和PFB的丘疹活检显示非干酪样肉芽肿,符合结节病表现。这是结节病浸润PFB病变的首例病例报告,也是冻疮样狼疮与瘢痕结节病共存的首例报告。在疑似结节病的患者中,PFB的增大病变是适合进行确诊活检的部位。此外,在PFB内出现瘢痕疙瘩样丘疹的患者可能为未确诊的系统性结节病提供早期皮肤线索。