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IP Indian Journal of Clinical and Experimental Dermatology

A rare case of systemic sarcoidosis with cutaneous and sublingual salivary gland involvement

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Author Details: Shahul Hameed G, Jeevan Malaiyan, Chittambalam PC, Selvam MD, Pradeep Raj

Volume : 2

Issue : 3

Online ISSN : 2581-4729

Print ISSN : 2581-4710

Article First Page : 119

Article End Page : 121


Sarcoidosis is a systemic granulomatous disorder of unidentified etiology and pathologically character­ized by non-caseating granulomas. Majority of patients (~30%) have cutaneous lesions, exhibit different manifestations depending on diverse races whereas some patients develop systemic involvement. Diagnosis is based on a compatible clinical and radiological presentation and evidence of non-caseating granulomas. Here, we report a rare case of cutaneous sarcoidosis with a nodulocystic swelling on the floor of the mouth, which upon biopsy revealed a dense, non-caseating granulomatous infiltrate in the dermis. Identification of systemic involvement was based on laboratory investigations, slit skin smear, sputum smear for acid-fast bacilli (AFB), chest X-ray, pulmonary function tests, computerized tomography (CT), ultrasound of abdomen and radiological examination. The patient was treated successfully and is being reviewed once every two weeks till date.

Cutaneous, Granuloma, Papules, Sarcoidosis, Systemic