Case Report
 
Sarcoidosis presenting as erythema nodosum
Medina L. D.1, Valenzuela M. J.2, Concha D. C.1, Barros C. E.1
1Internal Medicine Department, Hospital Universitario La Samaritana, Colombia
2Internal Medicine Resident, Universidad de la Sabana, Colombia.

Article ID: 100942Z01ML2018
doi: 10.5348/100942Z01ML2018CR

Corresponding Author:
Camilo Barros Gutierrez
Internal Medicine Department
Hospital Universitario La Samaritana, Colombia

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How to cite this article
Medina LD, Valenzuela MJ, Concha DC, Barros CE. Sarcoidosis presenting as erythema nodosum. Int J Case Rep Images 2018;9:100942Z01ML2018.


ABSTRACT

Introduction: Nodular lesions and painful, symmetrical, erythematous plaques located predominantly on the extensor surfaces of the lower limbs, meaning that an appropriate clinical analysis should be performed, since it involves a wide range of causes.

Case Report: We present a case report of a 25-year-old male patient diagnosed with sarcoidosis. His first clinical manifestation was the appearance of lesions compatible with erythema nodosum, accompanied by polyarthralgias of inflammatory characteristics predominantly in the lower limbs. The presence of noncaseating granulomas is demonstrated in taken biopsies. Erythema nodosum is an acute septal panniculitis of subcutaneous fat without signs of true vasculitis, and is the most common clinical-pathological variety of panniculitis. Being a reactive cutaneous process, it can be triggered by a long list of infectious, inflammatory disorders, malignant neoplasms and medications.

Conclusion: Erythema nodosum is usually benign, its approach requires a practice that focuses on the determination of concomitant pathologies.

Keywords: Erythema nodosum, Nodular vasculitis, Sarcoidosis, Septal panniculitis


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Author Contributions
Medina L. D. – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Valenzuela M. J. – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Concha D. C. – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Barros C. E. – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Consent Statement
Written informed consent was obtained from the patient for publication of this case report.
Conflict of Interest
Author declares no conflict of interest.
Copyright
© 2018 Medina L. D. et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.