Lessana-Leibowitch M, Monsuez J J, Noble J P, Sedel D, Cadot M, Hewitt J
Ann Med Interne (Paris). 1984;135(2):97-101.
The authors review the literature and 53 personal cases, and describe the very variable appearances of the skin lesions in sarcoidosis: these may be divided into two main groups: non-specific "vasculitis" mainly represented by acute lesions of the erythema nodosum type, and specific polymorphic lesions often difficult to diagnose clinically and requiring skin biopsy. As in previous reports, the personal cases bring out a number of special features: silicotic granulomatous sarcoid like lesions may be observed in authentic cases of sarcoidosis; lesions identical to those described in systemic sarcoidosis may appear in isolation without other localisations. Is this cutaneous sarcoid? or sarcoid-like granulomata of unknown origin? The treatment of sarcoid skin lesions is described briefly.
作者回顾了文献及53例个人病例，并描述了结节病皮肤病变的多样表现：这些病变可分为两大组：非特异性“血管炎”，主要表现为结节红斑型急性病变；特异性多形性病变，临床常难以诊断，需要进行皮肤活检。与既往报道一样，个人病例呈现出一些特殊特征：在结节病的真实病例中可观察到硅沉着性肉芽肿样病变；与系统性结节病中所描述的病变相同的病变可能孤立出现而无其他定位表现。这是皮肤结节病？还是不明来源的结节样肉芽肿？本文简要介绍了结节病皮肤病变的治疗方法。
