Ann Dermatol.  2010 Nov;22(4):435-438. 10.5021/ad.2010.22.4.435.

Subcutaneous Sarcoidosis with Plantar Involvement

• Celik G
• Ciledag A
• Akin P
• Simsek Y
• Kaya A
• Numanoglu
• Saglik YY
• Boyvat A
• Erekul S

• KMID: 2266182
• DOI: http://doi.org/10.5021/ad.2010.22.4.435

Abstract

Sarcoidosis is a multisystem granulomatous disorder of an unknown etiology. Subcutaneous sarcoidosis is a rare manifestation of sarcoidosis, and plantar involvement is extremely rare and there is only one such case report in the medical literature. Herein we present an interesting case of a patient who was diagnosed as having subcutaneous sarcoidosis at a plantar localization because plantar involvement is extremely rare and also because of the successful outcome after performing intralesional corticosteroid therapy.

Keyword

Intralesional corticosteroid; Plantar; Subcutaneous sarcoidosis

MeSH Terms

Humans
Sarcoidosis

Figure

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  Fig. 1 Subcutaneous nodule on the plantar surface of the patient's foot.

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  Fig. 2 Histopathologic examination shows well-circumbscribed non-necrotizing granulomas consisting of epithelioid histiocytes and Langhans giant cells in a fibrous stroma (A: H&E, ×100, B: H&E, ×200).

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  Fig. 3 The hyperkeratotic layer of the sole and the granuloma adjacent to the epidermis (H&E, ×100).

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  Fig. 4 Bilateral hilar enlargement and reticulonodular infiltration on the chest radiograph.

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  Fig. 5 Complete improvement of the subcutaneous lesion after intralesional corticosteroid injection.

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