Authors:
Firman Parrol
;
Karin Rachmani
;
Sri Linuwih Menaldi
;
Sondang P. Sirait
and
Eliza Miranda
Affiliation:
Department of Dermatology and Venereology, Faculty of Medicine, University of Indonesia, Indonesia
Keyword(s):
Sarcoidosis, nail sarcoidosis, cutaneous sarcoidosis
Abstract:
Sarcoidosis is a multisystem granulomatous disease, characterized by naked granuloma lesions with multiorgan involvement such as the lung, skin, eye, liver, peripheral lymph nodes and, nail. Cutaneous sarcoidosis is one of the most common findings, while nail sarcoidosis presents with a very low incidence. We report a 46-years-old male patient, referred to the Department of Dermatology and Venereology CiptoMangunkusumoHospital with enlarged erythematous plaque lesions on the ear and nose since three months ago. Our patient also showed dystrophy and onycholysis of toenails.Erythematous plaque lesions are a hallmark of chronic sarcoidosis, whilenail involvement is closely linked with chronic and systemic sarcoidosis. Furthermore, skin and nail biopsies also showed naked granuloma lesions. These findings strengthen our evidence of sarcoidosis, specifically chronic sarcoidosis. Althoughnail sarcoidosis is found in our patients, there is internal organ involvement. Therefore, a stepwise a
pproach needs to be done to diagnose nail sarcoidosis.
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