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Case 4, (27th Annual Uniformed Services Dermatology Conference, 2003) ETANERCEPT INDUCED SARCOIDAL GRANULOMAS OF THE SKIN

Twede JVT - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Case 4, (27th Annual Uniformed Services Dermatology Conference, 2003) ETANERCEPT INDUCED SARCOIDAL GRANULOMAS OF THE SKIN

History: 76 y/o Asian female with rheumatoid arthritis and a scaly lesion on her right shin. Her rheumatologist started her on etanercept (25mg SC BIW) one month prior to the initial onset. PMH: s/p 6 months INH treatment for pulmonary scaring on CXR consistent with prior TB infection; (+) BCG vaccination.

Findings: Tissue culture and PCR studies negative for infectious etiology. Histopathology: The biopsy shows several naked granulomas without birefringent material within the dermis. Acid fast and fungal stains were negative.

Ddx: •neoplasms •infections •dermatitis

Dxhow: clinicopathologic correlation

Exam: Solitary 1.4 cm annular eczematoid plaque on right shin

No MeSH data available.


Scattered crops of erythematous papules with crusting coalescing into plaques without evidence of drainage or foul odor; mild hyperpigmentation at prior crops of lesions; no lymphadenopathy, nail banding, hair, facial, or oral involvement.
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MPX1328_synpic23425: Scattered crops of erythematous papules with crusting coalescing into plaques without evidence of drainage or foul odor; mild hyperpigmentation at prior crops of lesions; no lymphadenopathy, nail banding, hair, facial, or oral involvement.


Case 4, (27th Annual Uniformed Services Dermatology Conference, 2003) ETANERCEPT INDUCED SARCOIDAL GRANULOMAS OF THE SKIN

Twede JVT - MedPix (2006)

Scattered crops of erythematous papules with crusting coalescing into plaques without evidence of drainage or foul odor; mild hyperpigmentation at prior crops of lesions; no lymphadenopathy, nail banding, hair, facial, or oral involvement.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1328&req=5

MPX1328_synpic23425: Scattered crops of erythematous papules with crusting coalescing into plaques without evidence of drainage or foul odor; mild hyperpigmentation at prior crops of lesions; no lymphadenopathy, nail banding, hair, facial, or oral involvement.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Case 4, (27th Annual Uniformed Services Dermatology Conference, 2003) ETANERCEPT INDUCED SARCOIDAL GRANULOMAS OF THE SKIN

History: 76 y/o Asian female with rheumatoid arthritis and a scaly lesion on her right shin. Her rheumatologist started her on etanercept (25mg SC BIW) one month prior to the initial onset. PMH: s/p 6 months INH treatment for pulmonary scaring on CXR consistent with prior TB infection; (+) BCG vaccination.

Findings: Tissue culture and PCR studies negative for infectious etiology. Histopathology: The biopsy shows several naked granulomas without birefringent material within the dermis. Acid fast and fungal stains were negative.

Ddx: •neoplasms •infections •dermatitis

Dxhow: clinicopathologic correlation

Exam: Solitary 1.4 cm annular eczematoid plaque on right shin

No MeSH data available.