Korean J Fam Med 2017; 38(4): 226-228  https://doi.org/10.4082/kjfm.2017.38.4.226
I Can Not Wear My Sunglasses: An Unusual Sarcoidosis Presentation
José Pablo Miramontes González1,2,*, Virginia Velasco Tirado2,3, Pablo González García1,2, Marta Sánchez García1, Ángeles Fidalgo Fernández1
1Department of Internal Medicine Unit, University Hospital Salamanca, Salamanca, Spain
2IBSAL, Institute Biomedical Research of Salamanca, Salamanca, Spain
3Department of Dermatology, University Hospital Salamanca, Salamanca, Spain
José Pablo Miramontes González Tel: +34-923-29-16-34, Fax: +34-920-37-12-20, E-mail: jpmiramontes@hotmail.com
Received: August 12, 2016; Revised: August 26, 2016; Accepted: August 30, 2016; Published online: July 20, 2017.
© Korean Academy of Family Medicine. All rights reserved.

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A 39-year-old Caucasian man was referred to University Hospital Salamanca from a primary care unit due to the presence of an erythematous violaceous nodule at the superior portion of his nose. Physical examination indicated that the firm, fixed erythematous violaceous nodule measured approximately 2 cm in diameter and was located inferior to a scar on the nasal bridge. Cutaneous involvement in sarcoidosis occurs in 25% of cases. A wide range of clinical presentations of cutaneous sarcoidosis is recognized. Skin lesions are classified as either non-specific, of which erythema nodosum is the most representative and specific, or as granulomatous, which includes maculopapular nodules, plaques, infiltrated scars, lupus pernio, ulcerations, warty lesions and erythroderma. Scar sarcoidosis is a type of cutaneous sarcoidosis.
Keywords: Cicatrix; Sarcoidosis; Cutaneous

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