Beck’s smallnodular sarcoid in dermatologist practice

Cover Page

Cite item


The low incidence of skin sarcoidosis in the practice of a dermatologist, numerous clinical manifestations, similarities with other dermatoses cause difficulties in timely diagnosis, lead to diagnostic errors, and, as a consequence, untimely therapy. The presented clinical observation demonstrates the important role of conducting a detailed differential diagnostic search in patients with suspected skin sarcoidosis. Cutaneous manifestations of the pathological process can be combined with lesions of the lymph nodes, respiratory system and other organs, precede them or be isolated, in this regard, each patient with a verified diagnosis of skin sarcoidosis should be examined to exclude systemic signs of the disease. It should be emphasized that sarcoidosis of the skin can have a paraneoplastic character, being a marker of lymphoproliferative processes, myelodysplastic syndrome, therefore, correct and timely verification of the skin process may be a prerequisite for early diagnosis of other, possibly subclinically occurring pathological processes in the patient.

About the authors

Olga A. Mesnyankina

Astrakhan State Medical University

ORCID iD: 0000-0003-1599-301X
Astrakhan, Russian Federation

Sergey K. Ryabov

L.L.C. Consilium

Author for correspondence.
Astrakhan, Russian Federation


  1. Vizel AA. Sarcoidosis: from hypothesis to practice. Kazan. Publishing house “FEN”, Academy of Sciences of the Republic of Tatarstan. 2004. — 348 p. (In Russian).
  2. Bokhari SRA, Zulfiqar H, Mansur A. Sarcoidosis. StatPearls Treasure Island (FL): StatPearls Publishing. 2020. Available from: (Accessed 12.10.2020).
  3. Kirdakov DF, Fomin VV, Potekaev NN. Skin sarcoidosis: clinical variants and prognostic significance. Farmateka. 2011;18:28—33. (In Russian).
  4. Kryazheva SS, Snarskaya ES, Surikova NS. Sarcoidosis of the skin. M.: Shiko, 2012. 80 p. (In Russian).
  5. FernandezFaith E, McDonnell J. Cutaneous sarcoidosis: differential diagnosis. Clin. Dermatol. 2007;25(3):276—87. doi: 10.1016/j.clindermatol.2007.03.004.
  6. Burmester GR, Peccuto AA. Visual immunology. M.: Laboratoriya znanij, 2018. 320 p. (In Russian).
  7. Tchernev G. Cutaneous sarcoidosis: the “great imitator”: etio-pathogenesis, morphology, differential diagnosis, and clinical management. Am.J. Clin. Dermatol. 2006;7 (6):375—382. doi: 10.2165/00128071-200607060-00006
  8. Kozin VM, Kozina Yu V. Diffuse-i nfiltrative sarcoidosis of Beck’s skin. Vestnik Vitebskogo gosudarstvennogo medicinskogo universiteta.2019;18(1):99—103.
  9. Kobak S. Sarcoidosis: a rheumatologist’s perspective. Ther. Adv. Musculoskelet Dis. 2015;7(5):196—205. doi: 10.1177/1759720X15591310. (In Russian).
  10. Snarskaya ES, Akopova KV, Vakulishina OA. Beck’s angular sarcoidosis. Russian Journal of Skin and Venereal Diseases.2013;4:35—38. (In Russian).
  11. Degtyarev OV, Yanchevskaya EYu, Mesnyankina OA, Tkachenko TA, Romanova OE, Shashkova AA, Novinskaya AL. Sarcoidosis of the skin in a child. Russian Journal of Skin and Venereal Diseases.2015;3:27—30. (In Russian).
  12. Szczerkowska-D obosz A, Stawczyk-Macieja M, Purzycka Bohdan D, Dubaniewicz A, Nowicki R. Cutaneous sarcoidosis: the “great imitator”: etiopathogenesis, morphology, differential diagnosis, and clinical management. Pol Merkur Lekarski. 2018;44(261):142—14.
  13. Reddy RR, Shashi Kumar BM, Harish MR. Cutaneous sarcoidosis — a great masquerader: a report of three interesting cases. Indian. J. Dermatol. 2011;56(5):568—72. doi: 10.4103/0019- 5154.87158
  14. Samcov AV. Sarkoidoz. Klinicheskaya dermatovenerologiya. Editors: Skripkin YuK, Butov Yu S.M.: GEOTAR-Media. 2009. T. 2. 551 p. (In Russian).
  15. Potekaev NS, Teplyuk NP, Berichekidze TT, Grabovskaya OV, Shilova NG, Kuklina GM. Clinical variants of skin sarcoidosis. Clinical dermatology and venereology. 2012;6:88—93. (In Russian).
  16. Dogra S, De D, Radotra BD, Kanwar AJ, Pahwa M. Atrophic sarcoidosis: an unusual presentation of cutaneous sarcoidosis. Skinmed. 2010;8(1):59—60.
  17. Kang MJ, Kim HS, Kim HO, Park YM. Cutaneous sarcoidosis presenting as multiple erythematous macules and patches. Ann Dermatol. 2009;21(2):168—170.
  18. Sycheva NL, Faustov LA, Osmolovskaya PS. Difficulties in the clinical diagnosis of atypical skin sarcoidosis. Clinical dermatology and venereology. 2016;15(2):19—24. (In Russian).
  19. Cvetkova GM, Mordovceva VV, Vavilov AM. Patomorfologiya boleznej kozhi: Rukovodstvo dlya vrachej. M.: Medicina. 2003. 496 p. (In Russian).
  20. Mana J, Marcoval J, Rubio M, Labori M, Fanlo M, Pujol R. Granulomatous cutaneous sarcoidosis: diagnosis, relationship to systemic disease, prognosis and treatment. Sarcoidosis Vasc Diffuse Lung Dis. 2013;30(4):268—81.

Copyright (c) 2022 Mesnyankina O.A., Ryabov S.K.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies