Department of Dermatology, Farhat Hached University Hospital, Sousse, Tunisia.
Department of Anatomopathology, Farhat Hached University Hospital, Sousse, Tunisia.
Pan Afr Med J. 2020 Jul 29;36:228. doi: 10.11604/pamj.2020.36.228.21487. eCollection 2020.
Skin manifestations of sarcoidosis occur in up to 30% of cases, and may be the sentinel sign of the disease, with the skin being sometimes exclusively affected. While this may facilitate an early dermatologic diagnosis, heterogeneity in the cutaneous morphologies of sarcoidosis complicates recognition and affirms its reputation as a "great imitator". Here, we present a case of a verrucous version of sarcoidosis that may be misdiagnosed because it can mimic other inflammatory and neoplastic skin disorders. Although it is a rare variant, its presence should alert clinicians to the likelihood of systemic involvement of cutaneous sarcoidosis.
结节病的皮肤表现发生在多达 30%的病例中，可能是疾病的前驱征象，有时皮肤是唯一受影响的部位。虽然这可能有助于早期皮肤科诊断，但结节病的皮肤形态的异质性使识别变得复杂，并证实了其作为“模仿大师”的声誉。在这里，我们介绍了一例疣状结节病病例，由于它可能模仿其他炎症性和肿瘤性皮肤疾病，因此可能被误诊。虽然它是一种罕见的变异型，但它的存在应该提醒临床医生注意皮肤结节病全身受累的可能性。
