皮下结节型结节病

A case of Subcutaneous sarcoidosis

报告1例皮下结节型结节病。患者女,57岁。臀部及下肢红斑结节4个月伴疼痛1个月。皮肤科检查:臀部、双侧大腿红色结节,约蚕豆至核桃大,触之坚韧。皮损组织病理示:真皮中下部及皮下脂肪大量的上皮细胞肉芽肿及多核巨细胞,大部分呈裸结节。诊断为皮下结节型结节病。

A case of subcutaneous sarcoidosis is reported. A 57-year-old female, on her buttocks and thighs, presented with erythema for 4 months and painful nodules for 1 month. Dermatological examination showed bean to walnut sized, hard, red nodules on the buttocks and both thighs. In the mid and deep dermis and subcutaneous fat, large amount of epithelioid cells and multi-nucleated giant cells were seen. Most of them were naked tubercles. A diagnosis of subcutaneous sarcoidosis was finally made.