Publicação
Extensive panniculitis of the abdominal wall. An unusual presentation of sarcoidosis
| Resumo: | The involvement of the skin in sarcoidosis is present in about 5 to 35% of cases, and it may be the initial manifestation of the disease.The authors describe the clinical case of a 34 year old female patient, hospitalized with high fever, a 20kg weight loss and an extensive paniculitis of the inferior quadrants of the abdomen, with about 2 months of evolution.The biopsy revealed a granulomatous lobular paniculitis without vasculitis and without caseous necrosis of sarcoidosis type.All the other diseases that can cause a lobular paniculitis without vasculitis were excluded.The patient evolved favourably with the institution of oral corticotherapy and the follow-up at 3 years excluded the involvement of other organs. |
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| Autores principais: | Martins, Teresa |
| Outros Autores: | Serrano, Ana; Machado, João; Fernandes, Cândida; Maltez, Fernando |
| Assunto: | sarcoidose paniculite manifestações cutânea sarcoidosis paniculitis cutaneous manifestations |
| Ano: | 2009 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Instituição associada: | Sociedade Portuguesa de Medicina Interna |
| Idioma: | português |
| Origem: | Revista Portuguesa de Medicina Interna |
| Resumo: | The involvement of the skin in sarcoidosis is present in about 5 to 35% of cases, and it may be the initial manifestation of the disease.The authors describe the clinical case of a 34 year old female patient, hospitalized with high fever, a 20kg weight loss and an extensive paniculitis of the inferior quadrants of the abdomen, with about 2 months of evolution.The biopsy revealed a granulomatous lobular paniculitis without vasculitis and without caseous necrosis of sarcoidosis type.All the other diseases that can cause a lobular paniculitis without vasculitis were excluded.The patient evolved favourably with the institution of oral corticotherapy and the follow-up at 3 years excluded the involvement of other organs. |
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