A Case of Sarkoidosis that Developed Lupus Pernio Lesions in the Chronic Stage

Sarcoidosis is a multisystem chronic disease that has an unknown etiology and is characterized by non-caseificating granulomas. Skin involvement is characterized by either specific lesions such as lupus pernio, infiltrating plaques, subcutaneous nodules, scaring and alopecia, or non-specific lesions of erythema nodosum. Skin involvement may be seen as the first symptom or can be seen during the later course of the disease. Specific skin lesions can be seen in the advanced stages of systemic sarcoidosis and have prognostic significance. The current study presents a case of advanced stage lung sarcoidosis that developed lupus pernio lesions in the chronic stage.

Akciðer Sarkoidozunun Kronik Döneminde Ortaya Çýkan Lupus Pernio Olgusu

Sarkoidoz nedeni bilinmeyen, multisistem, nonkazeifiye granülomlarla karakterize kronik bir hastalýktýr. Kutanöz tutulum; lupus pernio, infiltre plaklar, subkutan nodül, skar, alopesi gibi spesifik veya eritema nodosum gibi nonspesifik lezyonlarla seyredebilir. Deri tutulumu sistemik sarkoidozun seyri sýrasýnda ortaya çýkabileceði gibi ilk bulgu olarak da ortaya çýkabilir. Spesifik deri lezyonlarý sistemik sarkoidozun ileri evrelerinde görülebilir ve prognostik önemi vardýr. Bu yazýda kronik döneminde lupus pernio lezyonlarý ortaya çýkan ileri evre akciðer sarkoidozu olgusu sunulmaktadýr.