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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Sarcoidosis in the periocular scar as the first finding of systemic sarcoidosis:...
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Vol. 94. Issue 9.
Pages 453-459 (September 2019)
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Vol. 94. Issue 9.
Pages 453-459 (September 2019)
Short communication
DOI: 10.1016/j.oftale.2019.03.009
Sarcoidosis in the periocular scar as the first finding of systemic sarcoidosis: Clinical–radiological characteristics
Sarcoidosis en cicatriz periocular como primer hallazgo de sarcoidosis sistémica: características clínico-radiológicas
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L. Díaz-Cabanasa,
Corresponding author
luciadc197@gmail.com

Corresponding author.
, M. Belani-Rajub, P.I. González-Márquezc, S. Artioli-Schellinid, I. Guereñu-Paneroc, A. Galindo-Ferreirob
a Departamento de Oftalmología, Hospital Clínico Universitario, Valladolid, Spain
b Departamento de Oftalmología, Hospital Universitario Río Hortega, Valladolid, Spain
c Servicio de Anatomía Patológica, Hospital Universitario Río Hortega, Valladolid, Spain
d Departamento de Oftalmología, Faculdade de Medicina de Botucatu – UNESP, São Paulo, Brazil
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Received 13 January 2019. Accepted 15 March 2019
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Table 1. Published cases of patients with scar sarcoidosis.
Abstract

An unusual case is presented of a 29 year-old Caucasian woman with a granuloma in an old scar in the right periocular region as a first clinical sign of a systemic sarcoidosis. An excisional biopsy was performed, for which the histological diagnosis was a chronic non-necrotising granulomatous inflammation, suggestive of scar sarcoidosis. The lesion re-appeared one year after initial treatment, and was treated with intralesional depot steroids, showing adequate progression. This disease occurs more frequently in wound areas where there are foreign bodies and could be the first sign of systemic sarcoidosis.

Keywords:
Scar sarcoidosis
Granuloma
Non-caseating granulomatosis
Foreign body
Resumen

Se presenta un caso raro de una mujer caucásica de 29 años con un granuloma en una cicatriz antigua, en la región periocular derecha, como primer signo clínico de una sarcoidosis sistémica. Se procedió a una biopsia escisional de la lesión con diagnóstico anatomopatológico de inflamación crónica granulomatosa no necrosante, con características histológicas sugestivas de sarcoidosis de cicatriz. Al año, la lesión recidivó, por lo que se trató con esteroides depot intralesionales. Esta patología se produce con más frecuencia cuando existen cuerpos extraños y puede ser la primera señal de sarcoidosis sistémica.

Palabras clave:
Sarcoidosis de cicatriz
Granuloma
Granulomatosis no necrosante
Cuerpo extraño

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