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Clinical and histopathological analysis of specific lesions of cutaneous sarcoidosis in Korean patients

Authors
 Ye-Jin Jung  ;  Mi Ryung Roh 
Citation
 JOURNAL OF DERMATOLOGICAL TREATMENT, Vol.22(1) : 11-17, 2011 
Journal Title
JOURNAL OF DERMATOLOGICAL TREATMENT
ISSN
 0954-6634 
Issue Date
2011
MeSH
Adult ; Aged ; Asian Continental Ancestry Group ; Female ; Humans ; Male ; Middle Aged ; Radiography ; Republic of Korea ; Retrospective Studies ; Sarcoidosis/diagnosis* ; Sarcoidosis/drug therapy ; Sarcoidosis/pathology ; Sarcoidosis, Pulmonary/diagnostic imaging ; Skin Diseases/diagnosis* ; Skin Diseases/drug therapy ; Skin Diseases/pathology
Keywords
cutaneous sarcoidosis
Abstract
BACKGROUND: Sarcoidosis is a multi-systemic, non-caseating, granulomatous disorder of unknown origin.

OBJECTIVE: The purpose of our investigation was to describe the clinicopathological characteristics of specific lesions of cutaneous sarcoidosis and treatment outcomes in Korean patients.

METHODS: A retrospective review was made of 31 patients who were diagnosed with sarcoidosis at Severance Hospital, Yonsei University Health System in Korea between 2000 and 2008; these patients were enrolled in this study. The diagnosis of cutaneous sarcoidosis was made in 17 of the patients. They were confirmed by histopathologic examinations. The clinical features were analyzed through review of medical records, and histopathologic and radiologic examinations.

RESULTS: The patients' primary complaints were cutaneous symptoms (51.6%) and respiratory symptoms (32.3%). The most common presentation of cutaneous sarcoidal lesions was the nodule-plaque form (41.2%) and systemic organ involvement was observed in six cases (35.3%). Treatment modalities included steroid, hydroxychloroquine, cyclosporine, topical tacrolimus, and pulsed dye laser. In our series, five patients (30%) achieved complete resolution of the cutaneous lesions and 10 patients (60%) showed partial resolution after corticosteroid treatment. Also, patients without extracutaneous symptoms responded better to corticosteroid treatment compared to patients with systemic involvement.

CONCLUSIONS: These data reveal the diversity of clinical and histopathologic findings of cutaneous sarcoidosis in Korea.
Full Text
http://informahealthcare.com/doi/abs/10.3109/09546630903440098
DOI
10.3109/09546630903440098
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
Yonsei Authors
Roh, Mi Ryung(노미령) ORCID logo https://orcid.org/0000-0002-6285-2490
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95097
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