Facial Tumors Revealing Systemic Sarcoidosis: About a Case Report

Abstract

Cutaneous involvement in sarcoidosis is highly variable, occurring in 9 to 37% of cases, and can be classified into specific and non-specific lesions. The specific lesions are essentially sarcoids with small and large nodules, plaques and annular lesions. However, the tumoral form is still very rare, and has only been reported in a handful of cases in the literature. We report the case of a 33-year-old female patient diagnosed with systemic sarcoidosis, revealed by a 5-year history of atypical skin lesions on the face, the largest of which measured 7 cm long. Skin biopsy was consistent with sarcoidosic granuloma, and workup for other localizations revealed ocular, respiratory, salivary gland and joint involvement. The originality of our observation lies in the extreme rarity of the tumoral form in cutaneous sarcoidosis.