Albany Medical College, Albany, NY, USA
Case Report
Unusual presentation of sarcoidosis in a patient with latent TB
Author(s): Shelley K. Uppal*, Akhil Gupta, Wasim Nasir, Sarah Hocker and Stanley Skopit
This is a report of a patient with latent tuberculosis (TB) who presented with isolated cutaneous, psoriaform sarcoidosis with scarring alopecia of the scalp. The patient had a unique presentation with salmon-colored, hyperkeratotic, and eroded plaques on his arms, back, stomach, and face. The scalp initially presented with extensive ulceration with a secondary bacterial infection that evolved into scarring alopecia. Multiple punch biopsies identified non-caseating granulomas with negative AFB staining, confirming the diagnosis of sarcoidosis. The patient received hydrocortisone 2.5 % topical cream to apply to his plaque-like lesions, and doxycycline twice a day (BID) and mupirocin 2% ointment for his scalp wound. In addition, he continued treatment of his latent TB with rifampin. The patient will be evaluated by his ophthalmologist and started on hydroxychloroquine therapy. .. View More»
