Sarcoidosis Treated as Hansen Disease - A Case Report

In a country like Nepal; where leprosy is prevalent, when a patient comes to us with nodular lesions, the first diagnosis is leprosy. A case of sarcoidosis with cutaneous and pulmonary involvement is reported here. In this patient initially the diagnosis of Hansen disease was made and was treated ac...

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Main Authors: Shristi Shrestha, Amit Shrestha
Format: Article
Language:English
Published: HEAD Nepal 2018-06-01
Series:Nepalese Medical Journal
Online Access:https://www.nepjol.info/index.php/nmj/article/view/20402
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author Shristi Shrestha
Amit Shrestha
author_facet Shristi Shrestha
Amit Shrestha
author_sort Shristi Shrestha
collection DOAJ
description In a country like Nepal; where leprosy is prevalent, when a patient comes to us with nodular lesions, the first diagnosis is leprosy. A case of sarcoidosis with cutaneous and pulmonary involvement is reported here. In this patient initially the diagnosis of Hansen disease was made and was treated accordingly. As there was no improvement, a clinical suspicion of sarcoidosis. Presence of non-caseating granuloma in histopathology report and findings in chest X-Ray helped to reach in the diagnosis of sarcoidosis and was treated accordingly after which the patient showed significant clinical improvement. This case is presented here to emphasize that though in our part of the world and cutaneous sarcoidosis is rare; Sarcoidosis should be kept as one of the differential diagnosis, if clinically suspicious.  Nepalese Medical Journal, vol.1, No. 1, 2018, Page : 51-53
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spelling doaj.art-c9568d24aa734d6c9735d8eae317bf382022-12-22T03:46:37ZengHEAD NepalNepalese Medical Journal2631-20932645-85862018-06-0111505210.3126/nmj.v1i1.2040220402Sarcoidosis Treated as Hansen Disease - A Case ReportShristi Shrestha0Amit Shrestha1Department of Dermatology, Nepal Medical College and Teaching Hospital, KathmanduDepartment of Radiology, Nepal Medical College and Teaching Hospital, KathmanduIn a country like Nepal; where leprosy is prevalent, when a patient comes to us with nodular lesions, the first diagnosis is leprosy. A case of sarcoidosis with cutaneous and pulmonary involvement is reported here. In this patient initially the diagnosis of Hansen disease was made and was treated accordingly. As there was no improvement, a clinical suspicion of sarcoidosis. Presence of non-caseating granuloma in histopathology report and findings in chest X-Ray helped to reach in the diagnosis of sarcoidosis and was treated accordingly after which the patient showed significant clinical improvement. This case is presented here to emphasize that though in our part of the world and cutaneous sarcoidosis is rare; Sarcoidosis should be kept as one of the differential diagnosis, if clinically suspicious.  Nepalese Medical Journal, vol.1, No. 1, 2018, Page : 51-53https://www.nepjol.info/index.php/nmj/article/view/20402
spellingShingle Shristi Shrestha
Amit Shrestha
Sarcoidosis Treated as Hansen Disease - A Case Report
Nepalese Medical Journal
title Sarcoidosis Treated as Hansen Disease - A Case Report
title_full Sarcoidosis Treated as Hansen Disease - A Case Report
title_fullStr Sarcoidosis Treated as Hansen Disease - A Case Report
title_full_unstemmed Sarcoidosis Treated as Hansen Disease - A Case Report
title_short Sarcoidosis Treated as Hansen Disease - A Case Report
title_sort sarcoidosis treated as hansen disease a case report
url https://www.nepjol.info/index.php/nmj/article/view/20402
work_keys_str_mv AT shristishrestha sarcoidosistreatedashansendiseaseacasereport
AT amitshrestha sarcoidosistreatedashansendiseaseacasereport