{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T06:21:40Z","timestamp":1770790900909,"version":"3.50.0"},"reference-count":0,"publisher":"Ordem dos Medicos","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>Os granulomas sarc\u00f3ides podem ser encontrados num vasto leque de doen\u00e7as, pelo que diferenciar a sarcoidose de uma rea\u00e7\u00e3o tipo sarc\u00f3ide constituiu um desafio. Apresentamos o caso de uma jovem com les\u00f5es papulonodulares eritematoviol\u00e1ceas localizadas nos pavilh\u00f5es auriculares sobre os locais de aplica\u00e7\u00e3o de piercings. A bi\u00f3psia cut\u00e2nea mostrou um infiltrado constitu\u00eddo por granulomas sarc\u00f3ides ou focalmente tubercul\u00f3ides, n\u00e3o excluindo a hip\u00f3tese de sarcoidose. O estudo complementar, apesar de uma discreta eleva\u00e7\u00e3o da enzima conversora da angiotensina, excluiu envolvimento ocular ou pulmonar por sarcoidose. Perante a localiza\u00e7\u00e3o das les\u00f5es foram realizados testes epicut\u00e2neos que revelaram uma rea\u00e7\u00e3o fortemente positiva ao pal\u00e1dio e ao n\u00edquel, apoiando o diagn\u00f3stico de dermatite de contacto granulomatosa. Est\u00e3o descritos escassos casos de dermatite de contacto granulomatosa ao pal\u00e1dio tendo o metal dos piercings como fonte de sensibiliza\u00e7\u00e3o. A forma\u00e7\u00e3o de granulomas sarc\u00f3ides pode representar quer uma rea\u00e7\u00e3o tipo sarc\u00f3ide, quer uma forma de sarcoidose cut\u00e2nea, e os testes epicut\u00e2neos adquirem um papel fundamental no diagn\u00f3stico correto.<\/jats:p>","DOI":"10.20344\/amp.13451","type":"journal-article","created":{"date-parts":[[2021,12,6]],"date-time":"2021-12-06T22:00:59Z","timestamp":1638828059000},"page":"218-221","source":"Crossref","is-referenced-by-count":1,"title":["Granulomas Sarc\u00f3ides Sobre Cicatriz: Al\u00e9m da Sarcoidose"],"prefix":"10.20344","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5006-4334","authenticated-orcid":false,"given":"Francisca","family":"Morgado","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana","family":"Batista","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Carlos","family":"Cardoso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margarida","family":"Gon\u00e7alo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8464","published-online":{"date-parts":[[2022,3,2]]},"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/13451\/6494","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/13451\/6494","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,23]],"date-time":"2022-10-23T19:41:27Z","timestamp":1666554087000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/13451"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,2]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,3,2]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.13451","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"value":"1646-0758","type":"electronic"},{"value":"0870-399X","type":"print"}],"subject":[],"published":{"date-parts":[[2022,3,2]]}}}