DOI: https://doi.org/10.22263/2312-4156.2019.1.99
Kozin V.M., Kozina Y.V.
Boeck’s diffuse-infiltrative sarcoidosis of the skin
Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
Vestnik VGMU. 2019;18(1):99-103.
Abstract.
Clinical observation of the patient aged 55 years with a plaque on the left shin, receiving biopsy and pathomorphological material from the lesion focus detected cutaneous sarcoidosis. Taking into consideration minor cerebral infarction in the anamnesis, the presence of type 2 diabetes mellitus, non-toxic nodular goiter, hypercholesteremia and steatohepatosis, the diagnosis: Boeck’s diffuse-infiltrative sarcoidosis of the skin was made.
In the presence of complications the following treatment can be prescribed to the patient: prednisolone (methylprednisolone) 20-30 mg / day, possibly in the combination with plaquenil (200 mg / day) and topical application of group 1 corticosteroids, CO2 laser, diathermocoagulation, cryotherapy with liquid nitrogen.
Long-term internal treatment requires constant screening of peripheral blood, blood biochemistry (calcium, liver enzymes) control, ultrasound investigation of the abdominal cavity organs, and observation of a number of medical specialists.
Key words: skin sarcoidosis, diagnosis, treatment, observation.
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Information about authors:
Kozin V.M. – Doctor of Medical Sciences, professor of the Chair of Dermatovenerology, Vitebsk State Order of Peoples’ Friendship Medical University;
Kozina Y.V. – Candidate of Medical Sciences, associate professor of the Chair of Dermatovenerology, Vitebsk State Order of Peoples’ Friendship Medical University.
Correspondence address: Republic of Belarus, 210009, Vitebsk, 27 Frunze ave., Vitebsk State Order of Peoples’ Friendship Medical University, Chair of Dermatovenerology. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Yuliya V. Kozina.
