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Anales de la Facultad de Ciencias Médicas (Asunción)

versión impresa ISSN 1816-8949


ALDAMA CABALLERO, Arnaldo  y  ALDAMA NEGRETE, Juan Guillermo. Sarcoidosis with skin engagement casuistics of the National Hospital Dermatology Service - period 2010-2020. An. Fac. Cienc. Méd. (Asunción) [online]. 2021, vol.54, n.3, pp.119-128. ISSN 1816-8949.


Sarcoidosis is an inflammatory, granulomatous disease of unknown etiology. It can affect any organ, lung involvement being the most frequent. The skin is compromised in approximately 30% of the cases, and can be initial or unique. Sarcoidosis is very rare in Paraguay.


To carry out a review of the sarcoidosis cases observed in the Dermatology Service of the National Hospital in the period 2010-2020; determining their demographic, clinical, laboratory and evolutionary characteristics.

Materials and methods:

Retrospective, descriptive and observational study.


5 cases were diagnosed; all white women; with ages ranging from 41 to 63 years. The clinical forms were papular in 3 cases, in plate 1 and mixed 1. The skin lesions were asymptomatic and were preferably located on the face (4 cases). Systemic involvement was observed in the first consultations in 2 cases (pulmonary, ocular and lymph node in 1 and the lacrimal apparatus in another). In all cases the diagnosis was based on the clinical-histological correlation, with the finding of sarcoid granulomas. All received topical clobetasol, 3 patients received prednisone cycles and 2 hydroxychloroquine. The evolution was favorable in 3 cases and 2 did not return to their controls.


Sarcoidosis with skin manifestations is rare in our Service, but it represents a diagnostic challenge that must be timely to differentiate it from other more prevalent pathologies in our setting.

Palabras clave : Sarcoidosis; cutaneous sarcoidosis; sarcoid granuloma..

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