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GIORNALE ITALIANO DI DERMATOLOGIA E VENEREOLOGIA

A Journal on Dermatology and Sexually Transmitted Diseases


Official Journal of the Italian Society of Dermatology and Sexually Transmitted Diseases
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CASE REPORT  


Giornale Italiano di Dermatologia e Venereologia 1999 February;134(1):27-30

language: Italian

­Scar sar­coi­dosis

De Simoni I., Tomaselli R., Peris K., Chimenti S.

Università degli Studi - L’Aquila, Clinica Dermatologica


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­Scar sar­coi­dosis is a der­mat­osis ­which ­develops on ­long-­standing cuta­neous ­scars. ­They ­become ­inflamed and infil­trated, ­giving ­rise to typ­ical pur­plish-red ­lesions ­which ­turn ­brown as ­they ­fade. ­Between 20% and 35% of ­patients ­with ­systemic sar­coi­dosis ­have ­skin ­lesions, but cuta­neous sar­coi­dosis can ­also ­occur ­without ­systemic dis­ease, and is there­fore of diag­nostic impor­tance. The ­case of a 60-­year-old ­woman ­with “­scar sar­coi­dosis” on pre­ex­isting cuta­neous ­scars, ­without ­signs or symp­toms of ­systemic dis­ease at the ­time of diag­nosis, is ­reported. His­to­log­ical exam­ina­tion ­showed, in the retic­ular ­dermis, non-case­ating epithe­lioid ­cell tuber­cles, so-­called “naked” for the low ­number of sur­rounding lym­phoid ­cells. The ­patient did not ­receive any ­therapy, ­because of the exclu­sive local­iza­tion of the dis­ease to the ­skin. ­After a ­follow-up ­period of 12 ­months, no recur­rence of cuta­neous ­lesions and no ­systemic involve­ment ­have ­been ­observed. In con­clu­sion, “­scar sar­coi­dosis” is a dis­ease char­ac­ter­ized by unpre­dict­able clin­ical ­onset and evo­lu­tion; the impor­tance of accu­rate ­staging and ­follow-up of the ­patient for the ­early diag­nosis of ­systemic dis­ease is empha­sized.

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