AI Article Synopsis
- A 40-year-old woman presented with worsening subcutaneous skin nodules, which were tender and red, prompting a biopsy that revealed non-necrotizing granulomas with multinucleated giant cells.
- She was diagnosed with subcutaneous sarcoidosis after ruling out other granulomatous conditions.
- The patient is undergoing treatment with systemic steroids, hydroxychloroquine, methotrexate, and adalimumab, resulting in a notable decrease in nodule size after nine months of therapy.
Article Abstract
This case report focuses on a 40-year-old female with multiple subcutaneous skin nodules presenting to the clinic for worsening skin lesions associated with erythema and mild tenderness. A biopsy of the skin lesions showed non-necrotizing granulomas with multinucleated giant cells. The patient was being worked up for non-necrotizing granulomatous skin lesions and was diagnosed with subcutaneous sarcoidosis. Sarcoidosis diagnosis is based on clinical presentation, histopathological changes, and ruling out other granulomatous causes. Our patient is being treated with systemic steroids, hydroxychloroquine, methotrexate, and adalimumab. The patient is nine months into the treatment. A clinically significant reduction in the nodule size was noted. Other systemic involvement of sarcoid was ruled out. This subcutaneous skin involvement is a rare finding called the Darier-Roussy sarcoid. Usually self-resolving but extensive, deformative lesions need to be treated.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10752381 | PMC |
| http://dx.doi.org/10.7759/cureus.49501 | DOI Listing |
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