Multisystemic Sarcoidosis Presenting as Pretibial Leg Ulcers.
Sarcoidosis is a multisystemic disease of unknown etiology. Up to 30% of patients develop cutaneous manifestations, either specific or nonspecific. Ulcerating sarcoidosis leading to leg ulcers is a rare observation that may lead to confusions with other, more common types of chronic leg ulcers. We report the case of a 45-year-old female patient with chronic multisystemic sarcoidosis presenting with pretibial leg ulcers. Other etiology could be excluded. Histology revealed nonspecific findings. Therefore, the diagnosis of nonspecific leg ulcers in sarcoidosis was confirmed. Treatment consisted of oral prednisolone and good ulcer care. Complete healing was achieved within 6 months. Sarcoidosis is a rare cause of leg ulcers and usually sarcoid granulomas can be found. Our patient illustrates that even in the absence of sarcoid granulomas, leg ulcers can be due to sarcoidosis.
Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany wollina-uw@khdf.de.
Uwe
U
Wollina
Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.
Anja
A
Baunacke
Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.
Gesina
G
Hansel
D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D001706:Biopsy / Q000379:methods; D003937:Diagnosis, Differential; D005260:Female; D006099:Granuloma / Q000473:pathology*; D006801:Humans; D007871:Leg Ulcer / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D008198:Lymph Nodes / Q000473:pathology*; D008875:Middle Aged; D011239:Prednisolone / Q000008:administration & dosage*; D012507:Sarcoidosis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D012867:Skin / Q000473:pathology*; D016896:Treatment Outcome
D000893:Anti-Inflammatory Agents; D011239:Prednisolone
corticosteroids; granulomatous disease; leg ulcers; sarcoidosis; skin