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Clinical spectrum and histological analysis of 32 cases of specific cutaneous sarcoidosis

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Clinical spectrum and histological analysis of 32 cases of specific cutaneous sarcoidosis

Auteurs : Cristina Mangas [Espagne] ; Maria-Teresa Fernández-Figueras ; Enriqueta Fité [Espagne] ; Natalia Fernández-Chico ; Mireia Sàbat ; Carlos Ferrándiz

Source :

Journal of Cutaneous Pathology [ 0303-6987 ] ; 2006-12.

RBID : ISTEX:C4626F603EBF87F368075A5DABF7E60A5F27D730

English descriptors

Teeft :
- Arch dermatol, Biopsy, Clinical characteristics, Clinical spectrum, Cutan pathol, Cutaneous, Cutaneous involvement, Cutaneous sarcoidosis, Deep dermis, Dermatol, Dermis, Erythema, Erythema nodosum, Foreign bodies, Foreign material, Granuloma, Histological, Histological analysis, Histological findings, Hospital universitari germans trias, Lesion, Lupus, Lupus pernio, Maculopapular, Maculopapular eruption, Maculopapular eruptions, Nodule, Other hand, Papule, Perivascular, Pernio, Retrospective analysis, Sarcoidal granulomas, Sarcoidosis, Skin lesions, Specific cutaneous lesions, Specific cutaneous sarcoidosis, Specific lesions, Specific sarcoidosis skin lesions, Subcutaneous, Subcutaneous nodules, Superficial dermis, Systemic involvement, Systemic sarcoidosis.

Abstract

Background: Sarcoidosis is a multisystem granulomatous disorder of unknown aetiology in which skin involvement is frequent. Objective: To review histological characteristics of biopsies of specific cutaneous lesions of sarcoidosis and their relationship with clinical course. Patients and methods: Biopsies from 32 patients with specific cutaneous sarcoidosis were reviewed. Histological findings and clinical characteristics of these patients were analysed. Results: The initial clinical lesions of the patients were ten infiltrated nodule‐plaques, eight papules, four maculopapular eruptions, five scar sarcoidosis, four subcutaneous nodules and one lupus pernio. Sarcoidal granulomas were located at dermis in 31 cases (74%) and at subcutaneous fat in 12 (28%) but only four were subcutaneous exclusively. Perivascular or periannexial distribution of granulomas was observed in eight cases (19%) and they had coalescence in 29 samples. The presence of foreign material was demonstrated in 11 cases (26%). Conclusions: Clinical spectrum of specific lesions of cutaneous sarcoidosis showed a good correlation with granulomas localization in the biopsies. However, traditional classification of specific cutaneous sarcoidosis is often overlapping. On the other hand, foreign bodies and other atypical histological findings were more common than initially expected.

Url:

https://api.istex.fr/ark:/67375/WNG-PNLX65CL-B/fulltext.pdf

DOI: 10.1111/j.1600-0560.2006.00563.x

Affiliations:

Espagne

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Le document en format XML

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<front><div type="abstract" xml:lang="en">Background:  Sarcoidosis is a multisystem granulomatous disorder of unknown aetiology in which skin involvement is frequent. Objective:  To review histological characteristics of biopsies of specific cutaneous lesions of sarcoidosis and their relationship with clinical course. Patients and methods:  Biopsies from 32 patients with specific cutaneous sarcoidosis were reviewed. Histological findings and clinical characteristics of these patients were analysed. Results:  The initial clinical lesions of the patients were ten infiltrated nodule‐plaques, eight papules, four maculopapular eruptions, five scar sarcoidosis, four subcutaneous nodules and one lupus pernio. Sarcoidal granulomas were located at dermis in 31 cases (74%) and at subcutaneous fat in 12 (28%) but only four were subcutaneous exclusively. Perivascular or periannexial distribution of granulomas was observed in eight cases (19%) and they had coalescence in 29 samples. The presence of foreign material was demonstrated in 11 cases (26%). Conclusions:  Clinical spectrum of specific lesions of cutaneous sarcoidosis showed a good correlation with granulomas localization in the biopsies. However, traditional classification of specific cutaneous sarcoidosis is often overlapping. On the other hand, foreign bodies and other atypical histological findings were more common than initially expected.</div>
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Clinical spectrum and histological analysis of 32 cases of specific cutaneous sarcoidosis

Clinical spectrum and histological analysis of 32 cases of specific cutaneous sarcoidosis

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English descriptors

Abstract

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