Journal of Medical Case Reports and Reviews

an Open Access Publication

SWELLING FINGER REVEALING SYSTEMIC SARCOIDOSIS. A CASE REPORT

Melek Kechida
Internal Medicine and Endocrinology Department, Fattouma Bourguiba University Hospital, Monastir 5000, Tunisia
  • Articles
  • Submited: March 8, 2019
  • Published: March 15, 2019

Abstract

Soft tissue localized sarcoidosis is rarely reported in the literature as well as associated cutaneous vasculitis. We present the case of a 34 year old patient with a history of a swelling in the distal left index finger phalanx evolving since 1 month who was admitted for a macular non pruritic rash of his legs. Laboratory findings and radiological investigations have guided the diagnosis of systemic sarcoidosis which was confirmed by finger biopsy. Cutaneous biopsy revealed associated vasculitis. The aim of this case report is to highlight that in case of progressive swelling in soft tissue associated to cutaneous vasculitis, systemic sarcoidosis is a possible differential diagnosis. Biological and radiological work out may guide the diagnosis and biopsy will confirm it.

References

1- HLA-alleles associated with increased risk for extra-pulmonary involvement in sarcoidosis P. Darlington, A. Gabrielsen, P. Sorensson, L. Tallstedt, L. Padyukov, A. Eklund, J. Grunewald. Tissue Antigens. 2014 Apr;83(4):267-72.
2- Clinical and Experimental Dermatology, 35, 677–678. Sausage finger’ without bone involvement. C. Aliag˘ aog˘ lu, S. C. Gu¨ venc¸, M. E. Yanık, A. Kavak and U. Yıldırım
3- Zax RH, Callen JP. Granulomatous reactions. In: Principle and Practices of Dermatology, 2nd edn (Sams WM Jr, Lynch
4- V. Descamps ∗, F. Bouscarat. Manifestations cutanées de la sarcoïdose. Annales de dermatologie et de vénéréologie (2016) 143, 39—50
5- KENNEDY, C. (1979) Sarcoidosis with cutaneous vasculitis. British Journal of Dermatology, 101, 47.
6- C. JOHNSTON C. KENNEDY. Cutaneous leucocytoclastic vasculitis associated with acute sarcoidosis. Postgraduate Medical Journal (August 1984) 60, 549-550
How to Cite
Kechida, M. (2019). SWELLING FINGER REVEALING SYSTEMIC SARCOIDOSIS. A CASE REPORT. Jmcrr, 2(3). Retrieved from http://jmcrr.info/index.php/jmcrr/article/view/45
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