Cutaneous sarcoidal granulomas and the development of systemic sarcoidosis

Cutaneous Sarcoidosis

“…[1][2][3][4][5][6][7][8] Cutaneous sarcoidosis may be the presenting sign of systemic disease and a high clinical index of suspicion is critical because there can be protean manifestations. 9,10 Sarcoidosis may affect patients of all races and at any age, although the clinical presentation may vary by ethnic background. African Americans are more often affected by chronic skin sarcoidosis compared with white people.…”

Nodular Lesions on Fingertips

“…The last case in¬ volved a 30-year-old man with a history of cutaneous and lymphonodal sarcoidosis (he had papules on his neck) who developed some nodules on his fingertips and on the palms and backs of his hands; the nodules were indistinguishable from those observed in our case.9 intralesional corticosteroids, such as triamcinolone (5 to 10 mg/mL), have been used successfully in the treatment ofcutaneous lesions, although several courses of therapymay be needed. 3 High-potency topical steroid therapy, as well as excision ofsmall lesions, may also be beneficial. When a pa¬ tient has nodular lesions of the fingertips without infection, malignancy, or trauma, cutaneous sarcoidosis should be con¬ sidered as a possible diagnosis.…”

Lupus Pernio-A Rare Case Report

“…The disease process is generalised, with various manifestations and unpredictable course. Between 20-35% of patients with systemic sarcoidosis have cutaneous manifestations, but cutaneous sarcoidosis can also occur without systemic disease in about 25% of cases 2 . It is more common in developed countries and uncommon in our country.…”