Okamoto H, Mizuno K, Imamura S, Nagai S, Izumi T
Department of Dermatology, Faculty of Medicine, Kyoto University, Japan.
Clin Exp Dermatol. 1994 Nov;19(6):507-10. doi: 10.1111/j.1365-2230.1994.tb01259.x.
Two cases of sarcoidosis with tender, erythematous nodules on the legs are reported. The cutaneous lesions were clinically similar to those of erythema nodosum, but histologically showed non-caseating epithelioid granulomas. A review of 14 cases of this particular sarcoid eruption reported in Japan showed that 13 had ocular involvement as in our cases. In the light of the high frequency of ocular involvement, a skin biopsy should be considered in patients presenting with erythema nodosum-like eruptions situated on the legs.
报告了两例腿部出现压痛性红斑结节的结节病病例。皮肤病变在临床上与结节性红斑相似，但组织学表现为非干酪样上皮样肉芽肿。对日本报道的14例这种特殊结节病皮疹病例的回顾显示，其中13例与我们的病例一样有眼部受累。鉴于眼部受累的高频率，对于腿部出现类似结节性红斑皮疹的患者应考虑进行皮肤活检。
