Cutaneous sarcoidosis in a melanoma scar: A case report
Identifieur interne : 000324 ( Pmc/Curation ); précédent : 000323; suivant : 000325Cutaneous 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.
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DOI: 10.1177/2050313X19877274
PubMed: 31555445
PubMed Central: 6747842
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xml:lang="en"><p>Sarcoidosis is an inflammatory multisystemic disease of unknown etiology with multiple presentations of cutaneous lesions. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">SAGE Open Med Case Rep</journal-id><journal-id journal-id-type="iso-abbrev">SAGE Open Med Case Rep</journal-id><journal-id journal-id-type="publisher-id">SCO</journal-id><journal-id journal-id-type="hwp">spsco</journal-id><journal-title-group><journal-title>SAGE Open Medical Case Reports</journal-title></journal-title-group><issn pub-type="epub">2050-313X</issn><publisher><publisher-name>SAGE Publications</publisher-name><publisher-loc>Sage UK: London, England</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">31555445</article-id><article-id pub-id-type="pmc">6747842</article-id><article-id pub-id-type="doi">10.1177/2050313X19877274</article-id><article-id pub-id-type="publisher-id">10.1177_2050313X19877274</article-id><article-categories><subj-group subj-group-type="heading"><subject>JCMS Case Report</subject></subj-group></article-categories><title-group><article-title>Cutaneous sarcoidosis in a melanoma scar: A case report</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Fournier</surname><given-names>Cynthia</given-names></name><xref ref-type="aff" rid="aff1-2050313X19877274">1</xref><xref ref-type="corresp" rid="corresp1-2050313X19877274"></xref></contrib><contrib contrib-type="author"><name><surname>Vallée</surname><given-names>Sheila</given-names></name><xref ref-type="aff" rid="aff1-2050313X19877274">1</xref></contrib><contrib contrib-type="author"><name><surname>Perron</surname><given-names>Émilie</given-names></name><xref ref-type="aff" rid="aff2-2050313X19877274">2</xref></contrib><contrib contrib-type="author"><name><surname>Thérien</surname><given-names>Geneviève</given-names></name><xref ref-type="aff" rid="aff1-2050313X19877274">1</xref></contrib></contrib-group><aff id="aff1-2050313X19877274"><label>1</label>Department of Dermatology, CHU de Québec, Laval University, Québec City, QC, Canada</aff><aff id="aff2-2050313X19877274"><label>2</label>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></corresp></author-notes><pub-date pub-type="epub"><day>16</day><month>9</month><year>2019</year></pub-date><pub-date pub-type="collection"><year>2019</year></pub-date><volume>7</volume><elocation-id>2050313X19877274</elocation-id><permissions><copyright-statement>© The Author(s) 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder content-type="sage">SAGE Publications</copyright-holder><license license-type="creative-commons" xlink:href="http://www.creativecommons.org/licenses/by-nc/4.0/"><license-p>This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (<ext-link ext-link-type="uri" xlink:href="http://www.creativecommons.org/licenses/by-nc/4.0/">http://www.creativecommons.org/licenses/by-nc/4.0/</ext-link>) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (<ext-link ext-link-type="uri" xlink:href="https://us.sagepub.com/en-us/nam/open-access-at-sage">https://us.sagepub.com/en-us/nam/open-access-at-sage</ext-link>).</license-p></license></permissions><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></abstract><kwd-group><kwd>Sarcoidosis</kwd><kwd>cutaneous sarcoidosis</kwd><kwd>melanoma</kwd><kwd>melanoma scar</kwd><kwd>scar</kwd><kwd>cutaneous scar</kwd><kwd>mononeuritis multiplex</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>cover-date</meta-name><meta-value>January-December 2019</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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