[ @entity356 revealed by cutaneous follicular XXXX ].

@entity1 @entity24194 @entity356 @entity158 @entity370 @entity309
BACKGROUND: @entity370 is a disease well known to dermatologists because of the frequency of cutaneous involvement. Routine screening is performed for involvement of the lungs, lymph nodes, eyes, liver and heart. However, gastro-intestinal @entity370 is both rare and frequently silent, and it thus often goes undiagnosed. We report the case of a Caribbean @entity1 whose cutaneous lesions allowed a posteriori diagnosis to be made of @entity356 . @entity1 AND METHODS: A 45-year-old Caribbean @entity1 consulted for diffuse erythematous or @entity24194 , squamous and follicular micropapular lesions associated with @entity309 . Clinical examination and laboratory data led to a diagnosis of @entity370 . It was later discovered that she had presented @entity158 a few months earlier and that she had undergone gastroscopy and gastric biopsies. Histopathology had revealed non-caseating epithelioid-cell granulomas with giant cells, but no further exams were performed. The @entity1 was diagnosed a posteriori with cutaneous-articular and @entity356 . DISCUSSION: In contrast with hepatic involvement, which is frequent and well-known, @entity370 affecting the gastro-intestinal tract is rare and poorly known. This form of the disease is frequently clinically silent and is thus probably under-reported. The stomach is the site most frequently affected. @entity356 is seen in some 10% of @entity1 with systemic @entity370 and is symptomatic in less than 1% of cases. It is important to diagnose these forms since they may be associated with a certain degree of morbidity.
