University of Virginia School of Medicine
Abstract: 36 yo male with diffuse erythematous pruritic plaques
HPI: The patient is an uninsured 36 yo male with a 6 month history of diffuse erythematous pruritic plaques on the chest, back and buttocks. The condition worsened over the past 2 months. He has no history of prior skin diseases, diabetes mellitus or other systemic conditions. He denies shortness of breath, wheezing, chest pain, eye problems, night sweats, unintentional weight loss or fatigue. He usually receives medical care in South America and frequently travels between South America and the United States.
- Could this still be Hansen’s disease with a negative Fite stain?
- Could this be a form of Leishmaniasis?
- Any recommendations for further workup of sarcoidosis for a low-income, uninsured patient?References:1) Cutaneous sarcoidosis: differential diagnosis
Clinics in Dermatology, Volume 25, Issue 3, Pages 276-287
Esteban Fernandez-Faith, Jonelle McDonnell
2) Hansen's Disease: An Imitator of Cutaneous Sarcoidosis
Katsuya Chinen, Kazuhiko Hirano, Yasunori Fujioka Pictures in Clinical Medicine. Internal Medicine Vol. 50 (2011) No. 19 P 2257-2258
3) Comorbidity of Leishmania Major with cutaneous sarcoidosis
Moravvej H, Vesal P, Abolhasani E, Nahidi S, Mahboudi F.