Oral sarcoid granuloma associated with discoid lupus erythematosus: Case report
DOI:
https://doi.org/10.5935/2525-5711.20170028Keywords:
Lupus Erythematosus, Discoid, Granuloma, Pathology, Oral, SarcoidosisAbstract
Sarcoidosis is a chronic systemic disorder characterized by the formation of non-caseous granulomas. Oral manifestations are less frequent and may present as submucosal nodules. Because of its heterogeneity and similarity to other diseases, the diagnosis becomes chal- lenging. Objective: To report a case of oral sarcoid granuloma in a patient with discoid lupus erythematosus. Case report: A female patient, complaining of a three-month swelling of the lower lip. Previous nasal lesion with a diagnosis of granulomatous dermatitis was also reported. The labial biopsy was performed, showing sarcoid granulomas. Other complementary exams were requested to verify systemic involvement by sarcoidosis. The lesion spontaneously regressed, and an 18-month follow-up showed no recurrence. Due to the absence of a probable etiological factor associated with the lesion triggering, the histological and clinical evidences, a probable coexistence of discoid lupus erythematosus and sarcoid reaction or early-stage sarcoidosis was suggested. Conclusion: This rare case highlights the possibility of association between lupus and sarcoid granulomas, emphasizing the need for the dental surgeon to contemplate the differential diagnosis of sarcoidosis or sarcoid reaction in patients with lupus who present oral lesions similar to those of the present case, since the oral lesions of lupus are polymorphic and have a varying presentation.
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