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A rare comorbidity: neurosarcoidosis and cutaneous sarcoidosis #MMPMID26578505
Akyol L; Aslan K; Özgen M; Sayarlioglu M
BMJ Case Rep 2015[]; 2015 (ä): ä PMID26578505show ga
We present a case of a neurosarcoidosis patient with skin lesions. A 50-year-old woman was admitted with a 1-year history of violaceous, smooth and shiny plaques on her face and right arm. These lesions were biopsied and the histological examination indicated sarcoidosis. The patient had a history of headache and syncope that lasted for about 1?h. Brain CT showed masses measuring 37×20?mm in both frontal lobes. Thoracic and abdominal CT showed many pathologically enlarged lymph nodes. The patient was diagnosed with cutaneous, lung and neuronal sarcoidosis, and treated with 20?mg/day methylprednisolone, 15?mg/week methotrexate, 10?mg/week folic acid, 400?mg/day hydroxychloroquine and 800?mg/day carbamazepine. One month later, the patient's neurological symptoms had improved and her skin lesions had decreased. At 6-month follow-up, the size of the cranial masses had markedly regressed.