A young lady presented with bilateral nodular lesions on shins. She was also found to have bi-lateral hilar lymphadenopathy on chest X-ray. Mantoux test reveals indurations of 5 mms. Skin biopsy would reveal:
The presence of bilateral nodules on the shin (ERYTHEMA NODOSUM); bilateral hilar lymphadenopathy and negative Mantoux test in a female patient point to a probable diagnosis of Sarcoidosis. The skin lesions characteristically show the presence of non - caseating granulomasQ in sarcoidosis.
Non caseating granuloma
Vasculitis
Caseating granuloma
Malignant cells
Pulmonary Tuberculosis and Lung Abscess