Case 1

A 48-year-old black man presents to the clinic with asymptomatic lesions around his right eye that have been present for approximately 1 year. He notes that he started experiencing shortness of breath and a cough over the same time period. Otherwise, his medical history is unremarkable. The patient recalls that his late sister had ”some disease of her lungs,” but he was unsure of the diagnosis. Employed as an engineer, he works in an office and denies any high-risk social activities. Physical examination shows several purplish plaques around his right eye; similar lesions are present on his arms, legs, and chest.  A skin biopsy and a chest radiograph are performed.

Can you diagnose the condition in Case 1?

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A. Necrobiosis lipoidica
B. Kaposi sarcoma
C. Sarcoidosis
D. Granuloma annulare

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