NBEM 5 block1 question 46 , please explain Thanks. - nicolecat

[ArchivalUser]

a 28-year-old woman comes to the physician because of the lesions shown. an x-ray of the chest shows hilar lymphadenopathy which of the following findings are most likely on histologic examination of a skin lesion and a hilar lymph node?

A Atypical lymphocytes and germinal centers
B Granulomas with foreign body giant cells
c Necrotizing vasculitis with fibrinoid necrosis
D Neutrophilic infitrate and foamy histiocytes

[ArchivalUser]

as I remember the lesion they are shown is characteristic of sarcoidosis, since it is an african american, plus hilar lymphadenopathy, are play its role for this answer. So the answer will be BBB. Non-caseating granulomas with foreign body giant cell.