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KMID : 0388220100170010056
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Journal of the Korean Rheumatism Association
2010 Volume.17 No. 1 p.56 ~ p.61
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A Case of Diffuse Subcutaneous Sarcoidosis Presenting as Thickened Extremities
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Yun Seong-Eun
Kim Hyun-Ok
Jeong Yong-Geun
Lee Kyeong-Ju
Lee Chang-Min
Kim Jae-Hee
Na Jae-Boem
Yoon Tae-Jin
Lee Sang-Il
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Abstract
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Sarcoidosis is multi-systemic disorder of an unknown etiology, and this is histologically characterized by noncaseating granulomatous inflammation. Sarcoidosis may affect the lung, skin, lymph nodes and eyes, but it rarely affects the subcutaneous tissue. There has been no report of diffuse subcutaneous sarcoidosis in Korea. We experienced a 57-year-old female with diffuse subcutaneous sarcoidosis that presented as thickened extremities. The patient complained of edema and skin thickening on both upper extremities. Magnetic resonance imaging revealed the reticular form of sarcoidosis on the forearm and the biopsy showed noncaseating granuloma. She was finally diagnosed as diffuse subcutaneous sarcoidosis and she improved after treatment with corticosteroid. We report here on this unusual case along with a review of the relevant literature.
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KEYWORD
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Subcutaneous, Sarcoidosis, Granuloma, Corticosteroid, Magnetic resonance imaging
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