Intrascrotal sarcoidosis in a pediatric patient.
Sarcoidosis is a granulomatous disease with diverse skin manifestations and systemic involvement. We describe an adolescent boy who presented with unilateral scrotal swelling, constitutional symptoms, and a rash. Further workup demonstrated lymphadenopathy and pulmonary opacities. Granulomas caused by sarcoidosis were identified in biopsy specimens of the epididymis and skin lesions. No acid-fast organisms were found in biopsy specimens, and the patient had negative findings on placement of purified protein derivative (tuberculin). The concentration of angiotensin-converting enzyme was not elevated. We discuss pediatric sarcoidosis and, more specifically, intrascrotal sarcoidosis.
Marty
Chelsy L
CL
Department of Dermatology, Mayo Clinic, Jacksonville, Florida, USA.
Kwong
Pearl C
PC
D000293:Adolescent; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D012507:Sarcoidosis / Q000175:diagnosis* / Q000473:pathology; D012611:Scrotum