Subcutaneous sarcoidosis associated with vitiligo, pernicious anaemia and autoimmune thyroiditis

We report a patient with pernicious anaemia, primary autoimmune hypothyroid ism and vitiligo, who presented with subcutaneous nodules. Histopathology o f the nodules revealed noncaseating granulomas, consistent with a diagnosis of sarcoidosis. Mild pulmonary sarcoid was also detected. Although an asso ciation between sarcoidosis and other autoimmune diseases is well-recognize d, the presence of the particular autoimmune diseases in our patient and th e involvement of subcutaneous fat in the sarcoidal inflammation, appears to represent a most unusual clinicopathological combination.