Photodistributed sarcoidosis: a case report and approach to management. (September 2018)

• Record Type: Journal Article
• Authors: Olteanu, Cristina; Worley, Brandon; Teo, Iris; Macdonald, Jillian
• Is Part Of: SAGE open medical case reports. Volume 6(2018)
• Publication Date: 2018-09
• Subjects: Sarcoidosis -- photodistributed -- variant -- management; Clinical medicine -- Case studies -- Periodicals; 616.09
• DOI: 10.1177/2050313X18796877
• Languages: English
• ISSNs: 2050-313X

Abstract

Sarcoidosis is an idiopathic disease, characterized by non-caseating granulomas in multiple organs/tissues. Cutaneous involvement occurs in approximately one-quarter of patients with a wide variety of presenting morphologies. This case report describes a case of photodistributed sarcoidosis, a rare cutaneous variant, with systemic involvement. A 42-year-old man presented with a history of a pruritic, rash with photoexacerbated annular plaques along with arthralgias and bone pain. Compared to previous reports of photodistributed sarcoidosis, our case presented with annular plaques rather than papules, and there was no prior exposure to ionizing radiation. He was treated successfully with prednisone and hydroxychloroquine. It is important to include sarcoidosis in the differential of photodistributed dermatoses.