Article Text

Download PDFPDF

Reactivation of old scars: inevitably sarcoid
  1. J S Sorabjee,
  2. R Garje
  1. Department of Medicine, Bombay Hospital Institute of Medical Sciences, Bombay, India
  1. Correspondence to:
 Dr Jehangir S Sorabjee
 Department of Medicine, Bombay Hospital Institute of Medical Sciences, 12 New Marine Lines, Bombay 400020, Maharashtra State, India;


Reactivation of pre-existing scars, as a manifestation of cutaneous sarcoidosis, is uncommon and the clinical significance of this odd symptom often remains unrecognised. In the appropriate setting a skin biopsy may serve to establish the diagnosis of sarcoidosis and avoid more invasive attempts at obtaining tissue. The case of a 72 year old man with remote reactivation of multiple cutaneous scars associated with a febrile illness, malaise, and hilar adenopathy is reported. A scar biopsy revealed multiple non-caseating granulomas and established the diagnosis of sarcoidosis. A short course of steroids was successful in causing regression of symptoms and cutaneous inflammation. Regression of inflammation in the scar provides a simple way to monitor response to treatment in this multisystem disease.

  • scar reactivation
  • sarcoidosis
  • allopurinol
View Full Text

Statistics from


    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.