A rare case of systemic sarcoidosis with cutaneous and sublingual salivary gland involvement

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Case Report

Author Details : Shahul Hameed G, Jeevan Malaiyan, Chittambalam PC, Selvam MD, Pradeep Raj

Volume : 2, Issue : 3, Year : 2016

Article Page : 119-121

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Abstract

Sarcoidosis is a systemic granulomatous disorder of unidentified etiology and pathologically character­ized by non-caseating granulomas. Majority of patients (~30%) have cutaneous lesions, exhibit different manifestations depending on diverse races whereas some patients develop systemic involvement. Diagnosis is based on a compatible clinical and radiological presentation and evidence of non-caseating granulomas. Here, we report a rare case of cutaneous sarcoidosis with a nodulocystic swelling on the floor of the mouth, which upon biopsy revealed a dense, non-caseating granulomatous infiltrate in the dermis. Identification of systemic involvement was based on laboratory investigations, slit skin smear, sputum smear for acid-fast bacilli (AFB), chest X-ray, pulmonary function tests, computerized tomography (CT), ultrasound of abdomen and radiological examination. The patient was treated successfully and is being reviewed once every two weeks till date.

Keywords: Cutaneous, Granuloma, Papules, Sarcoidosis, Systemic

How to cite : Shahul Hameed G, Malaiyan J, Chittambalam Pc, Selvam Md, Raj P, A rare case of systemic sarcoidosis with cutaneous and sublingual salivary gland involvement. IP Indian J Clin Exp Dermatol 2016;2(3):119-121

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