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THROUGH THE DERMOSCOPE
Year : 2018  |  Volume : 9  |  Issue : 1  |  Page : 80-81  

Dermoscopy of sarcoidosis: A useful clue to diagnosis


Department of Dermatology, Venereology and Leprology, All Institute of Medical Sciences, Rishikesh, India

Date of Web Publication22-Jan-2018

Correspondence Address:
N Hazarika
Department of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences, Rishikesh - 249 201
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/idoj.IDOJ_84_17

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How to cite this article:
Chauhan P, Meena D, Hazarika N. Dermoscopy of sarcoidosis: A useful clue to diagnosis. Indian Dermatol Online J 2018;9:80-1

How to cite this URL:
Chauhan P, Meena D, Hazarika N. Dermoscopy of sarcoidosis: A useful clue to diagnosis. Indian Dermatol Online J [serial online] 2018 [cited 2020 Sep 27];9:80-1. Available from: http://www.idoj.in/text.asp?2018/9/1/80/223730




   Dermsocopy of Sarcoidosis: a Useful Clue to Diagnosis Top


A 28-year-old male presented with a 1-year history of multiple, raised, reddish lesions over the right eye and right forearm. There was no other significant history. On examination, multiple, discrete, shiny, reddish brown papules were present over the right eye and the anteromedial aspect of the right forearm. Few lesions over the forearm were grouped together forming a small plaque [Figure 1]. Diascopy of the lesions showed apple jelly color. A clinical diagnosis of papular sarcoidosis was made. Dermoscopy (DermLite II hybrid m; 3Gen; polarized mode, ×10 magnification) revealed multiple linear and branching vessels over translucent yellowish-orange globular structures. Scar-like depigmented areas were also seen [Figure 2]. Histology was done and showed multiple well-defined granulomas in the dermis consisting of epithelioid cells, histiocytes, few multinucleated giant cells, and lymphocytes, which was consistent with sarcoidosis [Figure 3]a and [Figure 3]b. The dermoscopy findings in our case are in line with those previously described by Pellicano et al. in their study.[1] The dermsocopic finding of various granulomatous disorders are summarized in [Table 1].
Figure 1: Multiple, discrete, reddish-brown infiltrated papules over the anteromedial aspect of the forearm

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Figure 2: (a) Multiple linear and branching vessels (seen as arrows) over translucent yellowish-orange globular structures (seen as star). (b) Multiple arborizing vessels (blue arrow) overlying translucent reddish orange background (star) with scar-like depigmented areas (black arrow) (Polarized mode, ×10)

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Figure 3: (a) Multiple well-defined granulomas seen in the dermis having epithelioid histiocytes, multinucleated giant cells, and few lymphocytes (H and E, 10×). (b) Closer view showing epithelioid cell granuloma with histiocytes, epithelioid cells, and scattered lymphocytes (H and E, 40×)

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Table 1: Dermoscopic findings of granulomatous disorders

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[5]

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Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Pellicano R, Tiodorovic-Zivkovic D, Gourhant JY, Catricala C, Ferrara G, Caldarola G, et al. Dermoscopy of cutaneous sarcoidosis. Dermatology 2010;221:51-4.  Back to cited text no. 1
    
2.
Brasiello M, Zalaudek I, Ferrara G, Gourhant JY, Capoluongo P, Roma P, et al. Lupus vulgaris: A new look at an old symptom--the lupoma observed with dermoscopy. Dermatology 2009;218:172-4.  Back to cited text no. 2
    
3.
Errichetti E, Stinco G. Dermoscopy in General Dermatology: A Practical Overview. Dermatol Ther (Heidelb) 2016;6:471-507.  Back to cited text no. 3
    
4.
Errichetti E, Lallas A, Apalla Z, Di Stefani A, Stinco G. Dermoscopy of Granuloma Annulare: A Clinical and Histological Correlation Study. Dermatology 2017 [Epub ahead of print].  Back to cited text no. 4
    
5.
Llambrich A, Zaballos P, Terrasa F, Torne I, Puig S, Malvehy J. Dermoscopy of cutaneous leishmaniasis. Br J Dermatol 2009;160:756-61.  Back to cited text no. 5
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]
 
 
    Tables

  [Table 1]



 

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