Recurrent sarcoidosis on a scar associated with vitiligo


Demirkoek S. S., Arzuhal N., Devranoglu G., Demirkesen C., Tuezuen Y.

JOURNAL OF DERMATOLOGY, vol.34, no.12, pp.829-833, 2007 (SCI-Expanded) identifier identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 34 Issue: 12
  • Publication Date: 2007
  • Doi Number: 10.1111/j.1346-8138.2007.00394.x
  • Journal Name: JOURNAL OF DERMATOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.829-833
  • Keywords: autoimmunity, scar sarcoidosis, vitiligo, CUTANEOUS SARCOIDOSIS, AUTOIMMUNE-THYROIDITIS, SYSTEMIC SARCOIDOSIS, LYMPH-NODES
  • Acibadem Mehmet Ali Aydinlar University Affiliated: No

Abstract

We report a case of systemic sarcoidosis, diagnosed 13 years ago by transbronchial biopsy. Our patient had a spontaneous resolution of hilar and mediastinal lymphadenopathy 6 months after diagnosis. She presented with a skin rash on her thyroidectomy scar after a period of 4 years of complete remission. The patient complained that her thyroidectomy incision scar rose up, reddened and hardened. Biopsy of the skin lesion revealed non-caseating epithelioid granulomas with histiocytes and multinucleated giant cells. She was successfully treated with oral prednisone. Scar sarcoidosis recurred twice in a 7-year follow-up period without accompanying systemic sarcoidosis. Vitiligo appeared with the last relapse of scar sarcoidosis. The case we present is of interest due to the recurrent attacks of scar sarcoidosis in a patient during the remission period of systemic sarcoidosis. Another aspect of this case is the association of the disease with vitiligo without any sign of an autoimmune disease.