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Updated: Sep 30, 2025

05:39
Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
Published on: May 16, 2025
249
Cutaneous sarcoidosis: Lupus pernio and more
Karandeep S Randhawa1, Brian W Lee1, Giuseppe Micali2
1Rutgers-New Jersey Medical School, Newark, NJ, USA.
Italian Journal of Dermatology and Venereology
|March 11, 2022
Summary
Sarcoidosis commonly affects the skin, presenting as specific infiltrations or reactions like erythema nodosum. New treatments, including IL-6 and Janus kinase inhibitors, offer improved management for this multisystem disease.
Area of Science:
- Immunology
- Dermatology
- Rheumatology
Background:
- Sarcoidosis is a multisystem inflammatory disease.
- Cutaneous involvement occurs in approximately 25% of patients.
- Manifestations include specific sarcoidal infiltrations and erythema nodosum.
Purpose of the Study:
- To review the etiology, pathogenesis, clinical features, and management of sarcoidosis.
- To highlight advances in therapeutic options for sarcoidosis.
Main Methods:
- Literature review of sarcoidosis.
- Discussion of clinical presentations and diagnostic criteria.
- Overview of current and emerging treatment strategies.
Main Results:
- Cutaneous sarcoidosis presents as plaques, nodules, or tumors, sometimes causing disfigurement, pain, and paresthesia.
- Visceral involvement can lead to significant morbidity.
- Tocilizumab (IL-6 inhibitor) and tofacitinib (Janus kinase inhibitor) represent advanced therapeutic options.
Conclusions:
- Sarcoidosis requires comprehensive management due to its multisystemic nature.
- Understanding the diverse clinical presentations, including cutaneous manifestations, is crucial for diagnosis.
- Emerging targeted therapies offer new hope for managing sarcoidosis.
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