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April 1981

Cutaneous Sarcoidal Granulomas and the Development of Systemic Sarcoidosis

Author Affiliations

From the Department of Medicine, Division of Dermatology (Drs Hanno and Callen), the Division of Pulmonary Medicine (Dr Needelman), and the Department of Ophthalmology (Dr Eiferman), the University of Louisville School of Medicine.

Arch Dermatol. 1981;117(4):203-207. doi:10.1001/archderm.1981.01650040019012

• Studies of patients with systemic sarcoidosis have indicated that those patients with cutaneous lesions have a poorer prognosis with a greater incidence of symptomatic pulmonary and ocular sarcoidosis. We examined 18 patients who had biopsyproved cutaneous sarcoidosis for evidence of systemic involvement. Of the 13 patients who had no history of previously documented sarcoidosis, six had no evidence of systemic disease on history and physical examination, chest roentgenogram, pulmonary function testing, ocular examination, skin testing, and baseline laboratory testing. The seven remaining patients had evidence of sarcoidosis in another organ system, but six of the seven were essentially asymptomatic and required no therapy. The poorer prognosis associated with cutaneous sarcoidal granulomas drawn from populations with proved systemic sarcoidosis does not seem to apply to generally healthy outpatients with skin lesions as the initial manifestation of their disease.

(Arch Dermatol 1981;117:203-207)