Necrobiosis Lipoidica Mimicking Cutaneous Sarcoidosis Finally Treated With an Intralesional Injection of Corticosteroid: A Case Report
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2020
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Abstract
BACKGROUND: Necrobiosis lipoidica (NL) and sarcoidosis are granulomatous disorders with an unknown pathogenesis. They may coexist in the same patient, which suggests a possible overlap between these diseases among shared granulomatous inflammatory pathways. Case Presentation: This study presents the case of a non-diabetic 52-year-old woman who presented with red-yellowish border plaques on the face and upper extremities previously diagnosed as sarcoidosis. After 13 years of inappropriate treatment, histopathological findings consistent with the clinical and para-clinical examination suggested the diagnosis of NL. After treatment with an intralesional injection of steroids, significant improvement was observed, and no recurrent lesions were found.
CONCLUSION: Necrobiosis lipoidica may mimic cutaneous sarcoidosis. Prompt recognition and treatment of NL can be helpful for managing the disease.
J Drugs Dermatol. 2020;19(1):92-94. doi:10.36849/JDD.2020.4675
| Reference Key |
goldust2020necrobiosisjournal
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|---|---|
| Authors | Goldust, Mohamad;Rahmatpour Rokni, Ghasem;Weinberg, Jeffrey M.;Kircik, Leon;Bagot, Martine; |
| Journal | journal of drugs in dermatology : jdd |
| Year | 2020 |
| DOI |
10.36849/JDD.2020.4675
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