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July 1983

Cutaneous Sarcoidosis Associated With Sarcoidosis of the Upper Airway

Author Affiliations

From the Departments of Dermatology (Drs Paller and Freinkel), Medicine (Dr Silva-Walsh), and Otolaryngology (Drs Surek and Krespi), Northwestern University Medical School, Chicago.

Arch Dermatol. 1983;119(7):592-596. doi:10.1001/archderm.1983.01650310054011

• The diagnosis of laryngeal sarcoidosis is frequently delayed because it is rare and often develops insidiously. A 24-year-old woman with the annular scarring form of cutaneous sarcoidosis later contracted laryngeal sarcoidosis. Despite a two-year history of upper respiratory tract symptoms, the patient's progressive respiratory distress was attributed to sarcoidal pulmonary involvement. Dermatologists should be aware of the risk of airway obstruction from laryngeal granulomas in patients with cutaneous sarcoidosis. Although most commonly associated with the lupus pernio form of sarcoidosis, upper airway granulomas also develop in patients with other cutaneous manifestations of sarcoidosis.

(Arch Dermatol 1983;119:592-596)