Cutaneous Sarcoidosis

A 58 year old woman was follow up with recurring erythema nodosum lesions on tower extremities since two years. Derinatologic examination was reveuled multiple erythematous or purplish, solid, dome shape 2-3 cm diameters nodules besides erythema nodosum. Livid nodules were localized on arms, conjunctiva, forehead, abdomen. umbilical area and tower extremities for six months. Posteroanterior chest X-ray and thorax CT was showed bilateral hilar lymphadenopathy and was interpreted as sarcoidosis. In biopsy specimen from nodules demonstrated non-necrotising granulomas, formed by epitheloid histiocytes with eosinophilic cytoplasm on who le dermis layer under the epidermis. There was no finding for panniculitis. Sarcoidosis is a chronic relapsing-remitting granulomatous disease involving skin and other organs. it is called as Lofgren syndrome a form of acut sarcoidosis if fever. polyarthralgia, uveitis and bilateral hilar lymphadenopathy were found together.