유육종증의 초기에 발견된 동창루푸스 = Short Report : Lupus Pernio as the Early Cutaneous Presentation of Sarcoidosis

다국어 초록 (Multilingual Abstract)

Lupus pernio is the most characteristic cutaneous lesion of sarciodosis and this presents as an indurated red to blue-purple, swollen, shiny lesion that is often localized on the nose, cheeks, lips or ears of middle-aged female adults. It is a chronic malady that rarely shows spontaneous remission, and it sometimes causes deformity. It generally occurs as cutaneous lesions of sarcoidosis patients with a long duration of disease, and not as early cutaneous lesions of sarcoidosis. This case concerns a 43-year-old woman who presented with a 1 year history of firm erythematous and violaceous plaque with multiple erythematous and violaceous papules on the collumella and right nasal cavity. Skin biopsy showed noncaseasting granuloma. Herein, we report on a typical case of lupus pernio as the early cutaneous presentation of sarcoidosis, which has rarely been reported in the Korean literature. We suggest that early diagnosis and treatment is necessary to prevent deformity. (Korean J Dermatol 2010;48(11):1038∼1040)

참고문헌 (Reference)

1 박형석, "다양한 피부 형태를 보인 유육종증 1예" 대한피부과학회 42 (42): 1346-1349, 2004

2 Rosell A, "Lupus pernio with involvement of nasal cavity and maxillary sinus" 60 : 236-239, 1998

3 Yanardag H, "Lupus pernio in sarcoidosis:clinical features and treatment outcome of 14 patients" 9 : 72-76, 2003

4 Mapels CJ, "Lupus pernio" 33 : 187-189, 2007

5 O’Donoghue NB, "Laser remodeling of nodular nasal lupus pernio" 31 : 27-29, 2006

6 Smith R, "Improving cosmesis of lupus pernio by excision and forehead flap reconstruction" 34 : e25-e27, 2009

7 Badgwell C, "Cutaneous sarcoidosis therapy uptated" 56 : 69-83, 2007

8 Shin KS, "A case of lupus pernio" 26 : 453-458, 1988