A Case of Coexistent Cutaneous Sarcoidosis in a Patient with Tuberculous Pleurisy
- Author:
Yujin HAN
1
;
Yu Ri WOO
;
Jeong Deuk LEE
;
Sang Hyun CHO
;
Jick Hwan HA
;
Hei Sung KIM
Author Information
1. Skinmedi Dermatology Clinic, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- Publication Type:Case Report
- From:Korean Journal of Dermatology
2025;63(1):11-14
- CountryRepublic of Korea
- Language:English
-
Abstract:
Sarcoidosis is an inflammatory condition affecting multiple systems in the body, distinguished by the presence of noncaseating granulomas. It is believed that specific exposures to external antigens in individuals with genetic predisposition lead to the development of these granulomas. When diagnosing sarcoidosis, tuberculosis (TB) is a potential alternative explanation for the symptoms. Our case describes a rare coexistence of cutaneous sarcoidosis and TB pleurisy in a 75-year-old male. He was diagnosed with cutaneous sarcoidosis on his face. During the investigation for possible involvement of other organs, pleural effusion was discovered, and it was determined to be caused by mycobacterial infection. The patient received a 6-month course of anti-TB drugs to treat the TB pleurisy, while a topical calcineurin inhibitor was applied to the cutaneous sarcoidosis. This case serves as a reminder to dermatologists that the coexistence of TB with sarcoidosis is possible, not just as a differential diagnosis.
