title: Subcutaneous sarcoidosis associated with vitiligo, pernicious anaemia and autoimmune thyroiditis.
abstract: We report a patient with pernicious anaemia, primary autoimmune hypothyroidism and vitiligo, who presented with subcutaneous nodules. Histopathology of the nodules revealed noncaseating granulomas, consistent with a diagnosis of sarcoidosis. Mild pulmonary sarcoid was also detected. Although an association between sarcoidosis and other autoimmune diseases is well-recognized, the presence of the particular autoimmune diseases in our patient and the involvement of subcutaneous fat in the sarcoidal inflammation, appears to represent a most unusual clinicopathological combination.
authors.affiliation: Department of Dermatology; Respiratory Medicine, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
authors.forename: M A
authors.initials: MA
authors.lastname: Barnadas
authors.forename: J M
authors.initials: JM
authors.lastname: Rodríguez-Arias
authors.forename: A
authors.initials: A
authors.lastname: Alomar
mesh_terms: D000328:Adult; D000752:Anemia, Pernicious / Q000150:complications*; D005260:Female; D006801:Humans; D012507:Sarcoidosis / Q000150:complications*; D012871:Skin Diseases / Q000150:complications*; D013967:Thyroiditis, Autoimmune / Q000150:complications*; D014820:Vitiligo / Q000150:complications*