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Cutaneous sarcoidosis with cardiac involvement
H Okamoto1, K Mizuno, E Ohtoshi
1Department of Dermatology, Faculty of Medicine, Kyoto University, Kyoto 606-0813, Japan. hokamoto@takii.kmu.ac.jp
European Journal of Dermatology : EJD
|September 24, 1999
Summary
Cardiac involvement in sarcoidosis is often missed. Early cardiac monitoring is crucial for patients with cutaneous sarcoidosis, particularly those with facial lesions, to prevent severe outcomes.
Area of Science:
- Cardiology
- Dermatology
- Immunology
Background:
- Cardiac involvement significantly impacts sarcoidosis prognosis but is frequently subclinical and difficult to diagnose.
- Cutaneous sarcoidosis can be a presenting sign of systemic disease, including cardiac manifestations.
Observation:
- Five patients with cutaneous sarcoidosis (annular or nodular facial lesions) were diagnosed with cardiac involvement after initial dermatological diagnosis.
- Mild cardiac symptoms prompted careful cardiac examination in these patients.
Findings:
- Conduction disturbances were prevalent, including complete atrioventricular (AV) block and bundle branch blocks.
- Congestive heart failure was observed in one patient.
Implications:
- Patients with cutaneous sarcoidosis, especially facial annular lesions, require thorough cardiac evaluation and ongoing monitoring.
- Early detection and management of cardiac sarcoidosis can improve patient outcomes and prognosis.