A Case of Sarcoidosis
Annals of Dermatology
;
: 52-58, 1994.
Article
in English
| WPRIM
| ID: wpr-154321
ABSTRACT
We report a case of sarcoidosis which developed in the skin, lung and eyes in a 50-year-old woman. The skin lesions showed two types of cutaneous manifestations which were subcutaneous nodules on her back and erytrematous papules on the face for several months. Our patient's seurm angiotensin converting enzyme (ACE) level was elevated at 33.5 IU/L(reference range, 8.3-21.4 IU/L) and the purified protein derivative(PPD) skin test had a negative result. On her roentgenographic examinations, we could find multiple nodular densities with hazziness on both her lungs and radionuclides(Gallium 67) uptakes in right lower lung field. The ratio of helper to suppressor T cells was 9 in bronchial lavage. Diagnosis of sarcoidosis was made on the basis of histologic findings of non-caseating granulomas from skin and lung tissue. Treatment was initiated with oral alternate-day prednisone 40mg. The cutaneous lesions and dyspnea improved in 2 and 4 weeks respectively, and serum ACE level returned to normal in 2 months.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Sarcoidosis
/
Skin
/
Prednisone
/
Skin Tests
/
T-Lymphocytes
/
Peptidyl-Dipeptidase A
/
Bronchoalveolar Lavage
/
Diagnosis
/
Dyspnea
/
Granuloma
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Annals of Dermatology
Year:
1994
Type:
Article
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