case_images: PMC7908315_01
case_images: A, B) verrucous plaques with deep fissures on the gluteal region, perineum and inner thighs; (C) close-up view of the verrucous lesion on groin area
case_images: PAMJ-36-228-g001.jpg
case_images: PMC7908315_01_PAMJ-36-228-g001.jpg
case_images: F1
case_images: On physical examination, the patient had extensive verrucous plaques and nodules of the gluteal region, perineum extending to the inner thighs (Figure 1).
case_images: histopathology of verrucous sarcoidosis; A) epidermis shows papillomatous architecture with hyperkeratosis and acanthosis (hematoxylin-eosin stain; original magnification x 40); B) sarcoidal granuloma with multinucleated giant cells surrounded by a sprinkling of lymphocytes, is noted in the dermis (hematoxylin-eosin stain; original magnification x 200)
case_images: PAMJ-36-228-g002.jpg
case_images: PMC7908315_01_PAMJ-36-228-g002.jpg
case_images: F2
case_images: Skin biopsy showed multiple small, non-necrotizing, epithelioid cell granulomas in the dermis with hyperkeratosis and acanthosis of the underling epidermis (Figure 2).