PMC3937498_01
Multiple irregular, grouped skin colored papules and plaques arranged in a zosteriform pattern along the right thoracic (T1) segment
IDOJ-5-77-g001.jpg
PMC3937498_01_IDOJ-5-77-g001.jpg
F1
Cutaneous examination revealed multiple irregular, grouped skin colored papules and plaques of 3-10 mm in size arranged in a zosteriform pattern along right thoracic (T1) segment [Figure 1].
Contrast enhanced computed tomography chest showing miliary nodules along with subpleural involvement with interlobular peribroncho-vascular thickening and interspersed areas of consolidation
IDOJ-5-77-g002.jpg
PMC3937498_01_IDOJ-5-77-g002.jpg
F2
Areas of fibrosis in right upper lobe with emphysematous changes were seen along with bilateral hilar lymph nodes [Figure 2].
Photomicrograph showing granulomas with epitheleiod histiocytes, Langhan's giant cells and central fibrinoid necrosis (H and E, x100)
IDOJ-5-77-g003.jpg
PMC3937498_01_IDOJ-5-77-g003.jpg
F3
Histopathological examination of lesional biopsy on hematoxylin-eosin stained sections revealed multiple, non-caseating epithelioid granulomas with Langhan's giant cells, focal fibrinoid necrosis and occasional lymphocytes at the periphery in superficial and deep dermis consistent with the diagnosis of scar sarcoidosis [Figure 3].