A Puzzling Case of Facial Nodules

A 71-year-old man presents with chronic violaceous nodules on his nose and ears. Explore the diagnosis behind these Skin Lesions and systemic findings.

Lupus pernio


A 71-year-old man presented with an 8-year history of enlarging nodules on his nose. On physical examination, he had painless, violaceous, indurated nodules on his nose, ears, fingers, and toes. Computed tomography of the chest revealed hilar and mediastinal lymphadenopathy. Skin biopsy showed non-caseating granulomas. What is the most likely diagnosis?

What is the most likely diagnosis?

Entomophthoramycosis
Leprosy
Lupus pernio
Lupus vulgaris
Rhinophyma

Dermatology, Glucocorticoids, Lupus pernio, Non-caseating granuloma, Sarcoidosis

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