PMID- 20665394 OWN - NLM STAT- MEDLINE DCOM- 20101108 LR - 20151119 IS - 1098-9048 (Electronic) IS - 1069-3424 (Linking) VI - 31 IP - 4 DP - 2010 Aug TI - Cutaneous sarcoidosis. PG - 442-51 LID - 10.1055/s-0030-1262212 [doi] AB - Sarcoidosis is a systemic disease with skin manifestations. Skin manifestations are classified as nonspecific if they are not characterized by granulomatous inflammation and specific if the lesions have granulomas histologically. Erythema nodosum is the most common nonspecific skin manifestation, and it portends a good prognosis. Specific skin lesions have a varied clinical appearance, although often they can be distinguished by their yellow translucent character. Despite the potential variable appearance, there are common clinical presentations. Lupus pernio lesions are nodular violaceous specific skin lesions found predominantly on the face associated with scarring and a poor prognosis. Treatment of cutaneous sarcoidosis is primarily done to avoid scarring and cosmetic disfigurement. Local and systemic corticosteroids are the mainstay of treatment for the disease. Corticosteroid-sparing agents used to manage the disease include antimalarials, methotrexate, and tetracycline antibiotics. Tumor necrosis factor-alpha (TNF-alpha) antagonists such as infliximab may have a role in cutaneous sarcoidosis, especially in refractory cases that are resistant to the standard regimens. CI - Copyright Thieme Medical Publishers. FAU - Marchell, Richard M AU - Marchell RM AD - Department of Dermatology, Medical University of South Carolina, Charleston, SC 29425, USA. marchell@musc.edu FAU - Judson, Marc A AU - Judson MA LA - eng PT - Journal Article PT - Review DEP - 20100727 PL - United States TA - Semin Respir Crit Care Med JT - Seminars in respiratory and critical care medicine JID - 9431858 RN - 0 (Antibodies, Monoclonal) RN - 0 (Dermatologic Agents) RN - 0 (Glucocorticoids) RN - 0 (Tumor Necrosis Factor-alpha) RN - B72HH48FLU (Infliximab) SB - IM MH - Antibodies, Monoclonal/therapeutic use MH - Dermatologic Agents/therapeutic use MH - Erythema Nodosum/etiology/pathology/*therapy MH - Glucocorticoids/therapeutic use MH - Humans MH - Infliximab MH - Prognosis MH - Sarcoidosis/pathology/*therapy MH - Skin Diseases/etiology/pathology/*therapy MH - Tumor Necrosis Factor-alpha/antagonists & inhibitors EDAT- 2010/07/29 06:00 MHDA- 2010/11/09 06:00 CRDT- 2010/07/29 06:00 PHST- 2010/07/29 06:00 [entrez] PHST- 2010/07/29 06:00 [pubmed] PHST- 2010/11/09 06:00 [medline] AID - 10.1055/s-0030-1262212 [doi] PST - ppublish SO - Semin Respir Crit Care Med. 2010 Aug;31(4):442-51. doi: 10.1055/s-0030-1262212. Epub 2010 Jul 27.