Korean J Dermatol.  2009 May;47(5):629-631.

A Case of Cutaneous Sarcodisosis Treated with Isotretinoin

Affiliations
  • 1Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea. kgmcmcdm@yahoo.co.kr

Abstract

Sarcoidosis is a multisystem disorder that's characterized by non-caseating granuloma that involves the lung, lymphatic system, skin, eye and other visceral organs. There are many treatment modalities such as corticosteroid, antimalarial agents and methotrexate, but only a few cases treated with isotretinoin have currently been reported. A 31-year-old male patient presented with a two month history of solitary erythematous plaque on the philtrum without other systemic symptoms. The histopathologic findings revealed several naked noncaseating granulomas in the dermis. Special staining such as PAS and AFB showed negative findings. The patient was diagnosed with cutaneous sarcoidosis, and this showed complete remission after a 4-months of therapy with oral isotretinoin (20 mg/day).

Keyword

Isotretinoin; Sarcodisosis

MeSH Terms

Adult
Antimalarials
Dermis
Eye
Granuloma
Humans
Isotretinoin
Lip
Lung
Lymphatic System
Male
Methotrexate
Sarcoidosis
Skin
Antimalarials
Isotretinoin
Methotrexate
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