Lichenoid Sarcoidosis in a 3‐Year‐Old Girl

• Published in: Pediatric dermatology Vol. 18; no. 5; pp. 384 - 387
• Main Authors: Seo, Seon Kyo, Yeum, Jung Sub, Suh, Jin Chun, Na, Gun Yoen
• Format: Journal Article
• Language: English
• Published: New York, US Blackwell Science Inc 01.09.2001; Blackwell
• Subjects: Administration, Topical; Anti-Inflammatory Agents - therapeutic use; Biological and medical sciences; Biopsy; Child, Preschool; Female; Glucocorticoids - therapeutic use; Humans; Lichenoid Eruptions - drug therapy; Lichenoid Eruptions - pathology; Medical sciences; Prednisolone - analogs & derivatives; Prednisolone - therapeutic use; Recurrence; Sarcoidosis - drug therapy; Sarcoidosis - pathology; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis; Triamcinolone - therapeutic use; Tropical medicine; Asia; South Korea; Korea; Human; Case study; Skin disease; Sarcoidosis; Lichenoid dermatosis; Systemic disease; Child
• ISSN: 0736-8046; 1525-1470
• DOI: 10.1046/j.1525-1470.2001.01958.x

We report a case of lichenoid sarcoidosis in a 3‐year‐old girl. She had numerous discrete skin‐colored or erythematous, infiltrated follicular papules on the buttocks and extremities since 2 months of age. Histopathologic examination showed follicular plugging and an upper dermal granulomatous infiltrate of epithelioid cells closely surrounding the follicular ducts. No acid‐fast bacilli were seen in the sections examined. Chest radiograph and high‐resolution computed tomography (CT) showed no hilar lymphadenopathy or pulmonary parenchymal changes. An angiotensin‐converting enzyme level was elevated. The Mantoux reaction was negative and results of ophthalmologic examinations were normal. Treatment was started with triamcinolone 0.2 mg/kg and prednicarbate ointment. Some lesions healed completely and others showed residual pitting.