Miramontes González José Pablo, Velasco Tirado Virginia, González García Pablo, Sánchez García Marta, Fidalgo Fernández Ángeles
Department of Internal Medicine Unit, University Hospital Salamanca, Salamanca, Spain.
IBSAL, Institute Biomedical Research of Salamanca, Salamanca, Spain.
Korean J Fam Med. 2017 Jul;38(4):226-228. doi: 10.4082/kjfm.2017.38.4.226. Epub 2017 Jul 20.
A 39-year-old Caucasian man was referred to University Hospital Salamanca from a primary care unit due to the presence of an erythematous violaceous nodule at the superior portion of his nose. Physical examination indicated that the firm, fixed erythematous violaceous nodule measured approximately 2 cm in diameter and was located inferior to a scar on the nasal bridge. Cutaneous involvement in sarcoidosis occurs in 25% of cases. A wide range of clinical presentations of cutaneous sarcoidosis is recognized. Skin lesions are classified as either non-specific, of which erythema nodosum is the most representative and specific, or as granulomatous, which includes maculopapular nodules, plaques, infiltrated scars, lupus pernio, ulcerations, warty lesions and erythroderma. Scar sarcoidosis is a type of cutaneous sarcoidosis.
一名39岁的白种男性因鼻子上部出现一个紫红色结节，从基层医疗单位转诊至萨拉曼卡大学医院。体格检查显示，这个质地坚硬、固定的紫红色结节直径约为2厘米，位于鼻梁上的一道疤痕下方。结节病的皮肤受累在25%的病例中出现。皮肤结节病有多种临床表现。皮肤病变分为非特异性和肉芽肿性，其中结节性红斑是最具代表性和特异性的非特异性病变，肉芽肿性病变包括斑丘疹、斑块、浸润性疤痕、冻疮样狼疮、溃疡、疣状病变和红皮病。疤痕结节病是皮肤结节病的一种类型。
