A rare case of follicular sarcoidosis

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Abstract

The article is devoted to a rare variant of skin sarcoidosis — the so-called follicular sarcoidosis. According to the literature, the follicular form of sarcoidosis is extremely rare, several isolated cases are described in foreign literature, there are no publications in the russian literature. A 30-year-old female patient came to the clinic of the Military Medical Academy with a skin rash of the upper extremities, trunk and neck that lasted for one year. Anamnesis: repeated use of topical corticosteroids for the treatment with a temporary positive effect. The skin process was represented by common follicular papules; a histological examination of one of the elements revealed granulomas of the sarcoid type, which were located perifolliculary, mainly around the infundibular sections of the hair follicles. The rash resolved after a course of external corticosteroid therapy. The clinical case described by us illustrates the need for histological examination to verify the diagnosis.

About the authors

Inna A. Gritskova

S.M. Kirov Military Medical Academy

Author for correspondence.
Email: innaannushkina@gmail.com
ORCID iD: 0000-0002-0549-4009
SPIN-code: 6004-6546
Russian Federation, Akademika Lebedeva str., 6–8, 194044, Saint Petersburg

Yuri G. Gorbunov

S.M. Kirov Military Medical Academy

Email: urikgor@rambler.ru
ORCID iD: 0000-0002-1375-056X
SPIN-code: 3393-3256

MD, Cand. Sci. (Med.), associate professor

Russian Federation, Akademika Lebedeva str., 6–8, 194044, Saint Petersburg

Konstantin I. Alferov

LLC “Clinic SMT”

Email: Alferov-spb@yandex.ru
ORCID iD: 0000-0002-5652-6605
SPIN-code: 3978-2049
Russian Federation, Moskovskiy avenue, 22, 190013, Saint Petersburg

Irena E. Belousova

S.M. Kirov Military Medical Academy

Email: irena.belousova@mail.ru
ORCID iD: 0000-0002-4374-4435
SPIN-code: 6386-1117

Dr. Sci. (Med.), Professor

Russian Federation, Akademika Lebedeva str., 6–8, 194044, Saint Petersburg

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2. Fig. 1. Multiple follicular papules of pink-red color, covered with medium-lamellar white scales over the entire surface

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3. Fig. 2. Multiple follicular papules of pink-red color, covered with medium-lamellar white scales over the entire surface

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4. Fig. 3. Sarcoid granulomas consist mainly of epithelioid cells

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5. Fig. 4. Sarcoid granuloma adheres to the follicular epithelium at the confluence of the duct of the sebaceous gland into the follicle

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Copyright (c) 2022 Gritskova I.A., Gorbunov Y.G., Alferov K.I., Belousova I.E.

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