A Case of Cutaneous Sarcoidosis with Direct Osseous Involvement

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Simran Arinder Chadha http://orcid.org/0000-0002-0544-9195
Jennifer Shastry
Erin McComb
Christina Clarke


cutaneous sarcoidosis, extrapulmonary manifestations of sarcoidosis, osseous sarcoidosis


Sarcoidosis is a granulomatous disorder that presents with cutaneous manifestations in one-third of patients, often as an initial symptom prompting interaction with the healthcare system. Here, we report a case of cutaneous sarcoidosis on the forehead with directly underlying erosive osseous disease. The patient was imaged further, uncovering pulmonary involvement. The lesion was treated with topical and intralesional corticosteroids with significant resolution. Though there exist a range of classic eruptions associated with sarcoidosis, skin involvement can present variably and should prompt additional imaging, particularly to assess for osseous and pulmonary involvement. Topical and intralesional corticosteroids can be effective first-line therapy for cutaneous sarcoidosis.


1 Deepak AR, Dellaripa PF. Extrapulmonary Manifestations of Sarcoidosis. Rheum Dis Clin North Am. 2013;39(2):277-297. DOI: 10.1016/j.rdc.2013.02.007.

2 Wanat KA, Rosenbach M. Cutaneous Sarcoidosis. Clin Chest Med. 2015; 36(4):685-702. DOI: 10.1016/j.ccm.2015.08.010.

3 Judson MA. The Clinical Features of Sarcoidosis: A Comprehensive Review. Clin Rev Allergy Immunol. 2015;49(1):63-78. DOI: 10.1007/s12016-014-8450-y.

4 Jansen TL, Geusens PP. Sarcoidosis: Joint, muscle, and bone involvement. Eur Respir J Monogr. 2005;10:210-219. DOI: 10.1183/1025448x.00032013.

5 Korkmaz M, Uslu S, Korkmaz H, Centikol Y. A rare presentation of sarcoidosis with nasal bone involvement. Allergy Rhinol (Providence). 2016;7(1):e45-e49. DOI: 10.2500/ar.2016.7.0152.

6 Maduriera P, Pimenta S, Cardoso H, Cunha RG, Costa L. Sarcoidosis: An unusual presentation. Reumatol Clin. 2017;13(4):227-229. DOI: 10.1016/j.reuma.2016.03.008.

7 Yachoui R, Parker BJ, Nguyen TT. Bone and bone marrow involvement in sarcoidosis. Rheumatol Int. 2015; 35(11):1917-1924. DOI: 10.1007/s00296-015-3341-y.

8 Doherty CB, Rosen T. Evidence-Based Therapy for Cutaneous Sarcoidosis. Drugs. 2008;68(10):1361-1383. DOI: 10.2165/00003495-200868100-00003.