Cutaneous Sarcoidosis treated with Retinoids: A Case Report and Review of Nine Cases
Authors: Stephanie Farrugia, Michael J Boffa
Background: Sarcoidosis is a noncaseating granulomatous disease that affects multiple systems, including the skin. Treatment for cutaneous sarcoidosis is varied and mostly based on anecdotal knowledge from the literature. The commonest treatment for cutaneous sarcoidosis involves topical, intralesional, and/or systemic corticosteroids. Other treatments, including retinoids, have been trialed with varying response. Case presentation: A 71-year-old female had been diagnosed with cutaneous sarcoidosis when she was 59 years old. She was initially treated with corticosteroids, followed by methotrexate until the age of 68 years, at which point she was switched to acitretin due to failure of resolution on the previous treatment. The patient’s condition improved dramatically within 8 months of treatment. Conclusion: A literature review identified eight other cases of cutaneous sarcoidosis treated with retinoids (isotretinoin in six cases and etretinate in two cases). Of these cases, only one responded unfavorably, whereas resolution was seen within 8 months in the other seven cases, similar to our case. This suggests that retinoids may be a potential treatment option for cutaneous sarcoidosis, possibly owing to their anti-inflammatory and immunomodulatory properties.
Keywords: Retinoids, acitretin, granuloma, recalcitrant cutaneous sarcoidosis, case report.
Authors
Correspondence to:
Stephanie Farrugia, Department of General Medicine, Mater Dei Hospital, Msida, Malta, stephanie.f.farrugia@gov.mt
Publication history:
Received 20 Sep 2022
Accepted 16 Oct 2022
Published online 28 Nov 2022
Published in print 14 Dec 2022
Farrugia S, Boffa MJ. Cutaneous Sarcoidosis treated with Retinoids: A Case Report and Review of Nine Cases. EJMCR. 2022; 6(8): 147-151. doi:
10.24911/ejmcr/173-1663695748
Farrugia S, Boffa MJ. Cutaneous Sarcoidosis treated with Retinoids: A Case Report and Review of Nine Cases. https://www.ejmcr.com/?mno=115845 [Access: May 12, 2024]. doi:
10.24911/ejmcr/173-1663695748
Farrugia S, Boffa MJ. Cutaneous Sarcoidosis treated with Retinoids: A Case Report and Review of Nine Cases. EJMCR. 2022; 6(8): 147-151. doi:
10.24911/ejmcr/173-1663695748
Farrugia S, Boffa MJ. Cutaneous Sarcoidosis treated with Retinoids: A Case Report and Review of Nine Cases. EJMCR. (2022), [cited May 12, 2024]; 6(8): 147-151. doi:
10.24911/ejmcr/173-1663695748
Farrugia, S. & Boffa, . M. J. (2022) Cutaneous Sarcoidosis treated with Retinoids: A Case Report and Review of Nine Cases. EJMCR, 6 (8), 147-151. doi:
10.24911/ejmcr/173-1663695748
Farrugia, Stephanie, and Michael J. Boffa. 2022. Cutaneous Sarcoidosis treated with Retinoids: A Case Report and Review of Nine Cases. European Journal of Medical Case Reports, 6 (8), 147-151. doi:
10.24911/ejmcr/173-1663695748
Farrugia, Stephanie, and Michael J. Boffa. "Cutaneous Sarcoidosis treated with Retinoids: A Case Report and Review of Nine Cases." European Journal of Medical Case Reports 6 (2022), 147-151. doi:
10.24911/ejmcr/173-1663695748
Farrugia, Stephanie, and Michael J. Boffa. "Cutaneous Sarcoidosis treated with Retinoids: A Case Report and Review of Nine Cases." European Journal of Medical Case Reports 6.8 (2022), 147-151. Print. doi:
10.24911/ejmcr/173-1663695748
Farrugia, S. & Boffa, . M. J. (2022) Cutaneous Sarcoidosis treated with Retinoids: A Case Report and Review of Nine Cases. European Journal of Medical Case Reports, 6 (8), 147-151. doi:
10.24911/ejmcr/173-1663695748