How is sarcoidosis characterized?

How is sarcoidosis characterized?

Sarcoidosis is a disease characterized by the growth of tiny collections of inflammatory cells (granulomas) in any part of your body — most commonly the lungs and lymph nodes. But it can also affect the eyes, skin, heart and other organs.

How is skin sarcoidosis diagnosed?

When sarcoidosis develops on the skin, it’s often an early sign of the disease….Your dermatologist can play a role in diagnosing sarcoidosis by carefully examining your skin for:

  1. Lumps, bumps, and other signs.
  2. Scars and tattoos (sarcoidosis can develop in one)
  3. Lymph nodes near your lumps and bumps.

What is the hallmark of sarcoidosis?

Sarcoidosis is a multisystem disorder that can affect practically any organ of the body. The hallmark of sarcoidosis is the presence of noncaseating granuloma, a cluster of macrophages, epithelioid cells, mononuclear cells, and CD4+ T cells with a few CD8+ T cells in the peripheral zone.

What is subcutaneous sarcoidosis?

Histologically, subcutaneous sarcoidosis is defined by the presence of non-caseating granulomas present in the subcutaneous tissue[6]. On ultrasound imaging these lesions present as an irregularly defined mass with hyper and hypoechoic areas[9].

How is cutaneous sarcoidosis treated?

Cutaneous sarcoidosis is treated with topical or intralesional (i.e. injected) corticosteroids as the first‐line therapy for localised and mild disease and is generally recommended for disfiguring, cosmetically distressing, and symptomatic disease (Haimovic 2012a).

Does cutaneous sarcoidosis itch?

Sarcoidosis can develop in a scar, tattoo, or body piercing. When it does, it often causes redness and swelling, as shown in this picture. The affected skin may also feel lumpy, firmer than normal, sore, or itchy.

What are naked granulomas?

Granulomas are referred to as naked because they only have a sparse lymphocytic infiltrate at the margins of granulomas. The granulomas are generally circumscribed and composed of epithelioid cells with little or no necrosis. Fibrosis, if present, usually starts at the periphery and advances toward the center.

What are subcutaneous nodules?

Subcutaneous nodules are deep-seated lesions in the skin, located in the deep dermis and subcutis, often with minimal changes appreciated on the surface of the skin. They are often easier to feel than see. Subcutaneous nodules of sarcoidosis are sometimes referred to as Darier-Roussy sarcoidosis.

What causes skin sarcoidosis?

Doctors don’t know the exact cause of sarcoidosis. They think having certain genes makes it more likely that a person will develop the disease. Triggers of the disease could include infection with a bacteria or virus, or contact with something in your environment, such as dust or chemicals.

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