Friday Pop Quiz #221

The correct answer is F. Sarcoidosis. 

The papules on the nasal rim in this picture are characteristic of cutaneous sarcoidosis. Initial treatment should consist of steroids or other immunomodulators.

Acne excoriee, atypical mycobacterial infection, foreign body granuloma, Hodgkin lymphoma, lupus miliaris disseminatus faciei, and toxoplasmosis are considered on the differential of sarcoidosis but are not characteristic lesions as shown here.


Djambazov KB, Nikolov DG, Chonova EV, Traikova NI. Diagnostic difficulties in a case of isolated sarcoidosis of the nose and sinuses. Folia Med (Plovdiv). 2003;45(4):50-55.