Open AccessSystemic Sarcoidosis with Psoriasiform Plaques and Patchy Nonscarring Alopecia
Author(s) -
Shaimaa Ismail Omar,
Rasha Mahmoud Genedy,
Sami Abdelhamid Abo Zaid
Publication year - 2021
Publication title -
advances in skin and wound care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 61
eISSN - 1538-8654
pISSN - 1527-7941
DOI - 10.1097/01.asw.0000755940.44258.ab
Subject(s) - medicine , sarcoidosis , dermatology , cutaneous sarcoidosis , psoriasis , scalp , systemic disease , biopsy , disease , pathology
Cutaneous sarcoidosis occurs in about one-quarter of patients with systemic disease and presents with either specific or nonspecific signs. Psoriasiform sarcoidosis is an uncommon presentation. Herein, study authors report a rare case of systemic sarcoidosis that presented with psoriasiform plaques and patchy alopecia. The main patient complaint was disfigurement from skin lesions over different areas of his body, followed by scalp alopecia and uveitis. These lesions were well-defined plaques, some oozing and others scaly. Dermoscopic examination revealed yellow-orange globular structure. A biopsy was taken; the eventual diagnosis was sarcoidosis, for which the patient received treatment with systemic steroids, resulting in improvement of all of his lesions. Physicians should suspect sarcoidosis in any patient presenting with psoriasiform skin lesions not responding to traditional psoriasis treatment.