title: A rare comorbidity: neurosarcoidosis and cutaneous sarcoidosis.
abstract: We present a case of a neurosarcoidosis patient with skin lesions. A 50-year-old woman was admitted with a 1-year history of violaceous, smooth and shiny plaques on her face and right arm. These lesions were biopsied and the histological examination indicated sarcoidosis. The patient had a history of headache and syncope that lasted for about 1 h. Brain CT showed masses measuring 37×20 mm in both frontal lobes. Thoracic and abdominal CT showed many pathologically enlarged lymph nodes. The patient was diagnosed with cutaneous, lung and neuronal sarcoidosis, and treated with 20 mg/day methylprednisolone, 15 mg/week methotrexate, 10 mg/week folic acid, 400 mg/day hydroxychloroquine and 800 mg/day carbamazepine. One month later, the patient's neurological symptoms had improved and her skin lesions had decreased. At 6-month follow-up, the size of the cranial masses had markedly regressed.
authors.affiliation: Department of Internal Medicine, Division of Rheumatology, Ondokuz Mayıs University Hospital, Samsun, Turkey.
authors.forename: Lütfi
authors.initials: L
authors.lastname: Akyol
authors.affiliation: Department of Radiology, Ondokuz Mayıs University Hospital, Samsun, Turkey.
authors.forename: Kerim
authors.initials: K
authors.lastname: Aslan
authors.affiliation: Department of Internal Medicine, Division of Rheumatology, Ondokuz Mayıs University Hospital, Samsun, Turkey.
authors.forename: Metin
authors.initials: M
authors.lastname: Özgen
authors.affiliation: Department of Internal Medicine, Division of Rheumatology, Ondokuz Mayıs University Hospital, Samsun, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Sayarlioglu
mesh_terms: D001132:Arm; D001927:Brain Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D002493:Central Nervous System Diseases / Q000150:complications* / Q000188:drug therapy; D015897:Comorbidity; D005148:Facial Dermatoses / Q000150:complications / Q000188:drug therapy; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D012507:Sarcoidosis / Q000150:complications* / Q000188:drug therapy; D017565:Sarcoidosis, Pulmonary / Q000150:complications / Q000188:drug therapy; D012871:Skin Diseases / Q000150:complications* / Q000188:drug therapy; D013575:Syncope / Q000209:etiology