title: Sarcoidosis mimics lepromatous leprosy: a case report.
abstract: A 34-year-old Thai man presented with a two years history of progressively enlarged lepromatous leprosy like nodules and plaques on his back, chest, and scalp. Skin biopsy showed diffuse nonnecrotizing granulomatous inflammation with numerous multinucleated giant cells, lymphocytes, and plasma cells infiltration. The missed diagnosis of leprosy was made and was treated with antilepromatous drugs for one year. After repeated skin biopsy, the diagnosis was compatible with sarcoidosis. He was treated with prednisolone 40 mg per day for two weeks. The lesions gradually decreased in size and were controlled with prednisolone 10 mg per day.
authors.affiliation: Department of Medicine, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok 10400, Thailand.
authors.forename: Yupin
authors.initials: Y
authors.lastname: Thaipisuttikul
authors.forename: Pairaj
authors.initials: P
authors.lastname: Kateruttanakul
mesh_terms: D000328:Adult; D005938:Glucocorticoids / Q000009:adverse effects; D006801:Humans; D015440:Leprosy, Lepromatous / Q000175:diagnosis*; D008297:Male; D011239:Prednisolone / Q000009:adverse effects; D012507:Sarcoidosis / Q000175:diagnosis* / Q000188:drug therapy; D012871:Skin Diseases / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D005938:Glucocorticoids; D011239:Prednisolone