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Pterygium Formation due to Sarcoidosis

Pterygium Formation due to Sarcoidosis Abstract Nail dystrophy due to sarcoidosis is rare. We report a case of nail pterygium as a sign of chronic sarcoidosis in the absence of other cutaneous signs. Report of a Case A 52-year-old woman was referred to Columbia-Presbyterian Hospital, New York, because of bilateral hilar adenopathy discovered on a routine chest x-ray film. Tuberculin skin tests at 1:10,000,1:1,000, and 1:100 dilutions were negative. No skin or nail abnormalities were noted. A presumptive diagnosis of sarcoidosis (without pathologic confirmation) was made. The patient did not receive therapy.Thirteen years later, when the patient was examined in the dermatology clinic, she had a nail dystrophy of one-year duration involving the 1st, 2nd, 3rd, and 5th fingernails of the right hand and the fourth fingernail of the left hand (Fig 1). There were no other skin lesions present. There was no history of nail trauma. A combination of benzoic and salicylic acid ointment and nystatin cream were prescribed without response References 1. Sharma OP: Cutaneous sarcoidosis: Clinical features and management . Chest 1972;61:320-325.Crossref 2. Scadding JG: Sarcoidosis . London, Eyre and Spottiswoode, 1967, p 177. 3. Samman PD: The Nails in Disease , ed 3. London, W Heinemann, 1978, p 80. 4. Mann RJ, Allen BR: Nail dystrophy due to sarcoidosis . Br J Dermatol 1981;105:599-601.Crossref 5. Zaias N: The nail in lichen planus . Arch Dermatol 1970;101:264-271.Crossref 6. Edwards EA: Nail changes in functional and organic arterial disease . N Engl J Med 1948;239:362-365.Crossref 7. Samman PD: Idiopathic atrophy of the nails . Br J Dermatol 1969; 81:746-749.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Pterygium Formation due to Sarcoidosis

Archives of Dermatology , Volume 121 (2) – Feb 1, 1985

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Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1985.01660020134039
Publisher site
See Article on Publisher Site

Abstract

Abstract Nail dystrophy due to sarcoidosis is rare. We report a case of nail pterygium as a sign of chronic sarcoidosis in the absence of other cutaneous signs. Report of a Case A 52-year-old woman was referred to Columbia-Presbyterian Hospital, New York, because of bilateral hilar adenopathy discovered on a routine chest x-ray film. Tuberculin skin tests at 1:10,000,1:1,000, and 1:100 dilutions were negative. No skin or nail abnormalities were noted. A presumptive diagnosis of sarcoidosis (without pathologic confirmation) was made. The patient did not receive therapy.Thirteen years later, when the patient was examined in the dermatology clinic, she had a nail dystrophy of one-year duration involving the 1st, 2nd, 3rd, and 5th fingernails of the right hand and the fourth fingernail of the left hand (Fig 1). There were no other skin lesions present. There was no history of nail trauma. A combination of benzoic and salicylic acid ointment and nystatin cream were prescribed without response References 1. Sharma OP: Cutaneous sarcoidosis: Clinical features and management . Chest 1972;61:320-325.Crossref 2. Scadding JG: Sarcoidosis . London, Eyre and Spottiswoode, 1967, p 177. 3. Samman PD: The Nails in Disease , ed 3. London, W Heinemann, 1978, p 80. 4. Mann RJ, Allen BR: Nail dystrophy due to sarcoidosis . Br J Dermatol 1981;105:599-601.Crossref 5. Zaias N: The nail in lichen planus . Arch Dermatol 1970;101:264-271.Crossref 6. Edwards EA: Nail changes in functional and organic arterial disease . N Engl J Med 1948;239:362-365.Crossref 7. Samman PD: Idiopathic atrophy of the nails . Br J Dermatol 1969; 81:746-749.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Feb 1, 1985

References