[Scar sarcoidosis: an exceptional entity in ophthalmology].

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This case report describes scar sarcoidosis presenting as a multinodular erythematous tumefaction on the eyebrow, emphasizing its role in diagnosing systemic sarcoidosis and the necessity of ruling out cutaneous metastases or lymphoma via biopsy.

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Abstract

IntroductionScar sarcoidosis is a cutaneous demonstration of sarcoidosis arising on old cutaneous scars and generating nodular erythematous lesions.Case reportWe report the case of a 55-year-old patient sent for a multinodular erythematous tumefaction, at the level of the right eyebrow arch. The pathologic exam of the surgical specimen found a noncaseating inflammatory granulomatous reaction with no caseous necrosis. The diagnosis of sarcoidosis was retained based on a number of diagnostic arguments including the thoracic scanner and bronchoscopy results.DiscussionScar sarcoidosis is a cutaneous sarcoidosis expression but exceptionally leads to discovery of this disease, which then requires a search for visceral lesions because of their frequent association. The location is essentially facial and the peak of frequency is in the 5th decade. This pathology highlights the problem of its differential diagnosis, based on biopsy, which will eliminate cutaneous metastases, lymphoma, as well as other cutaneous granulomas.

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