We report on a 62-year-old black woman with chronic lupus pernio who was test-treated with flashlamp-pumped pulsed dye laser and rapidly developed ulcerative sarcoidosis in her treated and untreated lesions.
A 62-year-old black woman with a history of hypertension was referred to us with an 11-year history of cutaneous sarcoidosis. Prior treatments with topical, intralesional, and systemic corticosteroids; hydroxychloroquine sulfate; methotrexate; allopurinol, itraconazole; pentoxifylline; minocycline hydrochloride; and mycophenolate mofetil were unsuccessful.