Authors
Abstract
In this article we present a 53-year-old lady, who had progressive indurated skin lesions on her both forearms since 3 months ago, without skin discoloration. Chest x-ray showed parahilar lymphadenopathy, in high resolution CT (HRCT) scan evaluation multiple lymph nodes in upper and middle mediastinum were reported. Angiotensin converting enzyme (ACE) level was increased to 81 (normal 5-52) units. Deep skin biopsy was taken and granuloma with epitheloid and giant cells without caseating necrosis in dermis was reported. The epidermis was spared. She was diagnosed as a case of subcutaneous sarcoidosis and treated successfully with steroid and azathioprine.
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