A Case of Early-Onset Childhood Sarcoidosis.
- Author:
Sung Won WHANG
1
;
Dong Soo KIM
;
Kwang Hoon LEE
Author Information
1. Department of Dermatology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Childhood;
Sarcoidosis
- MeSH:
Ankle Joint;
Arthritis;
Arthritis, Juvenile;
Child, Preschool;
Dermis;
Exanthema;
Female;
Fever;
Granuloma;
Histiocytes;
Humans;
Lymphocytes;
Methotrexate;
Sarcoidosis*;
Skin;
Thorax;
Uveitis
- From:Korean Journal of Dermatology
2000;38(12):1696-1698
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Early-onset childhood sarcoidosis is a unique form of the disease characterized by the triad of rash, uveitis, and arthritis in patients presenting before age 4 years. We report a case of early onset childhood sarcoidosis in a 4-year-old girl. She presented with fever, right ankle joint swelling, multiple skin lesions on whole body and was diagnosed as juvenile rheumatoid arthritis in padiatric department. She was transferred to dermatologic department for skin evaluation, histological investigation revealed well-circumscribed, non-caseating naked granuloma with epitheloid cells, histiocytes, lymphocytes on the upper dermis. Laboratory evaluation, chest X-ray, and ophthalmologic evaluation are all within normal limit. She is treated with systemic steroid, methotrexate, non-steroidal anti-inflammatory drugs and follow up evaluation will be planned for possible eye involvement.