Lichenoid sarcoidosis in a 3-year-old girl

We report a case of lichenoid sarcoidosis in a 3-year-old girl. She had num erous discrete skin-colored or erythematous, infiltrated follicular papules on the buttocks and extremities since 2 months of age. Histopathologic exa mination showed follicular plugging and an upper dermal granulomatous infil trate of epithelioid cells closely surrounding the follicular ducts. No aci d-fast bacilli were seen in the sections examined. Chest radiograph and hig h-resolution computed tomography (CT) showed no hilar lymphadenopathy or pu lmonary parenchymal changes. An angiotensin-converting enzyme level was ele vated. The Mantoux reaction was negative and results of ophthalmologic exam inations were normal. Treatment was started with triamcinolone 0.2 mg/kg an d prednicarbate ointment. Some lesions healed completely and others showed residual pitting.