Sarcoidosis mimicking a venous ulcer

A case report

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Sarcoidosis - a chronic, multisystem disease of unknown etiology characterized by noncaseating granulomas - may cause ulcerative lesions, particularly in African American women. A case of ulcerative sarcoidosis mimicking a venous ulcer is presented. The patient is a 44-year-old African American hypertensive, obese woman with a nonhealing medially based lower leg ulcer of 3 years' duration clinically consistent with a venous ulcer. The ulcer did not heal with compression therapy and pentoxifylline. Subsequent biopsies showed granulomatous inflammation consistent with sarcoidosis. When intralesional triamcinolone was added to compression therapy, the ulcer resolved after 3 months. Given its propensity toward formation on the lower extremities and ulcerative and atrophic appearance, ulcerative sarcoidosis should be considered in the differential diagnosis of a venous ulcer refractory to standard therapy, especially in African American women.

Original languageEnglish
Pages (from-to)46-48
Number of pages3
JournalOstomy Wound Management
Volume55
Issue number11
StatePublished - Nov 1 2009
Externally publishedYes

Fingerprint

Varicose Ulcer
Sarcoidosis
African Americans
Ulcer
Triamcinolone
Pentoxifylline
Leg Ulcer
Granuloma
Lower Extremity
Differential Diagnosis
Chronic Disease
Therapeutics
Inflammation
Biopsy

Keywords

  • Case study
  • Diagnosis
  • Sarcoidosis
  • Treatment
  • Varicose ulcer

ASJC Scopus subject areas

  • Gastroenterology
  • Internal Medicine
  • Nursing(all)

Cite this

Sarcoidosis mimicking a venous ulcer : A case report. / Kirsner, Robert; Joshi, Smita S.; Romanelli, Paolo.

In: Ostomy Wound Management, Vol. 55, No. 11, 01.11.2009, p. 46-48.

Research output: Contribution to journalArticle

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