Connective tissue disease: sarcoidosis of the skin: practice question

A Dermatology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Dermatology · Connective tissue disease: sarcoidosis of the skin

Sample item

A woman has violaceous, indurated plaques on the nose and cheeks with biopsy showing noncaseating naked epithelioid granulomas. Which name is given to this presentation?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Lupus pernio

Lupus pernio is a chronic sarcoidosis lesion of the nose, cheeks and ears, associated with chronic respiratory disease. Granulomas lack caseation and show few lymphocytes, described as naked granulomas.

Option by option

  • A. Rhinophyma

    Rhinophyma is nasal enlargement from sebaceous hyperplasia in rosacea.

  • B. Lupus pernio (correct)

    Correct. Violaceous plaques on the nose and cheeks in sarcoidosis are lupus pernio.

  • C. Lupus vulgaris

    Lupus vulgaris is cutaneous tuberculosis with caseation.

  • D. Discoid lupus

    Discoid lupus shows scarring and follicular plugging, without granulomas.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Dermatology question

What is the answer to this Dermatology question?

The best answer is B, Lupus pernio. Lupus pernio is a chronic sarcoidosis lesion of the nose, cheeks and ears, associated with chronic respiratory disease.

Why is "Rhinophyma" not the answer?

Rhinophyma is nasal enlargement from sebaceous hyperplasia in rosacea.

Why is "Lupus vulgaris" not the answer?

Lupus vulgaris is cutaneous tuberculosis with caseation.

Why is "Discoid lupus" not the answer?

Discoid lupus shows scarring and follicular plugging, without granulomas.

What concept does this question test?

It tests Connective tissue disease: sarcoidosis of the skin in Dermatology. Granulomas lack caseation and show few lymphocytes, described as naked granulomas.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Connective tissue disease: sarcoidosis of the skin?

Learn each condition by its primary lesion, site and signature sign. Then use the flashcards and the other Dermatology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.