Cutaneous sarcoidosis in a melanoma scar: A case report
Identifieur interne : 000855 ( Pmc/Checkpoint ); précédent : 000854; suivant : 000856Cutaneous sarcoidosis in a melanoma scar: A case report
Auteurs : Cynthia Fournier [Canada] ; Sheila Vallée [Canada] ; Émilie Perron [Canada] ; Geneviève Thérien [Canada]Source :
- SAGE Open Medical Case Reports [ 2050-313X ] ; 2019.
Abstract
Sarcoidosis is an inflammatory multisystemic disease of unknown etiology with multiple presentations of cutaneous lesions. It characteristically infiltrates scars due to several kind of trauma such as surgery, tattoo and even herpes zoster. We present a case of a 65-year-old woman with progressive distal paresthesia and motor weakness. She was referred to our dermatology clinic for a new violaceous nodular plaque within an old melanoma scar on the posterior neck. On positron emission tomography–computed tomography, there were multiple enlarged thoracic lymphadenopathy and a fluorodeoxyglucose-avid cutaneous lesion on the posterior neck, right in the melanoma scar. Cutaneous and nerve biopsies showed non-necrotising granulomas, supporting the diagnosis of systemic sarcoidosis and excluding melanoma recurrence with metastasis. It is the first case of cutaneous sarcoidosis arising within a melanoma scar. Interestingly, patients with melanoma have a higher risk of sarcoidosis.
Url:
DOI: 10.1177/2050313X19877274
PubMed: 31555445
PubMed Central: 6747842
Affiliations:
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Department of Dermatology, CHU de Québec, Laval University, Québec City, QC, Canada</aff>
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Department of Pathology, CHU de Québec, Laval University, Québec City, QC, Canada</aff>
<author-notes><corresp id="corresp1-2050313X19877274">Cynthia Fournier, Department of Dermatology, CHU de Québec-Université Laval, 1050 Avenue de la Médecine, Québec City, QC G1V 0A6, Canada. Email: <email>cynthia.fournier.2@ulaval.ca</email>
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<abstract><p>Sarcoidosis is an inflammatory multisystemic disease of unknown etiology with multiple presentations of cutaneous lesions. It characteristically infiltrates scars due to several kind of trauma such as surgery, tattoo and even herpes zoster. We present a case of a 65-year-old woman with progressive distal paresthesia and motor weakness. She was referred to our dermatology clinic for a new violaceous nodular plaque within an old melanoma scar on the posterior neck. On positron emission tomography–computed tomography, there were multiple enlarged thoracic lymphadenopathy and a fluorodeoxyglucose-avid cutaneous lesion on the posterior neck, right in the melanoma scar. Cutaneous and nerve biopsies showed non-necrotising granulomas, supporting the diagnosis of systemic sarcoidosis and excluding melanoma recurrence with metastasis. It is the first case of cutaneous sarcoidosis arising within a melanoma scar. Interestingly, patients with melanoma have a higher risk of sarcoidosis.</p>
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