Extrapulmonary Sarcoidosis Presenting as Bilateral Lower Limb Erythema Nodosum Triggered by Intradermal Fillers: A Case of Misdiagnosis As Soft-Tissue Infection
2024

Misdiagnosis of Sarcoidosis as Soft-Tissue Infection

publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Musher Alice, Diaz Ortiz Melanie S, Diaz Lizarraga Antonio

Primary Institution: Department of Medicine, MetroWest Medical Center, Framingham, USA

Hypothesis

Can intradermal fillers trigger sarcoidosis symptoms in patients with a history of the condition?

Conclusion

The study highlights the importance of thorough medical history taking in patients with a history of sarcoidosis undergoing cosmetic procedures.

Supporting Evidence

  • Patients with a history of sarcoidosis may experience flares triggered by cosmetic procedures.
  • Erythema nodosum is a common skin lesion in sarcoidosis that can mimic soft-tissue infections.
  • Misdiagnosis can lead to inappropriate treatments and delayed care.

Takeaway

This study shows that getting cosmetic injections can cause serious health problems for people who have had sarcoidosis before, especially if the person giving the injections isn't qualified.

Methodology

Case report detailing the clinical presentation, diagnosis, and treatment of a patient with sarcoidosis misdiagnosed as a soft-tissue infection.

Potential Biases

Potential bias due to reliance on patient-reported history and the subjective nature of clinical assessments.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

39-year-old female patient with a history of sarcoidosis.

Digital Object Identifier (DOI)

10.7759/cureus.75220

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