The treatment of cutaneous sarcoidosis is typically with topical corticosteroids or intralesional injection of 3mg/cc of Kenalog.  As the cutaneous lesions are usually asymptomatic the goal of treatment is to prevent the cosmetic disfigurement of sarcoidosis.  Systemic steroids are very effective but a high dose is generally needed, thus many side effects can result from […]

Erythema Nodosum is a very common condition seen in sarcoidosis that I encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Eythema Nodosum is a non-specific cutaneous manifestation of sarcoidosis meaning that it is a reaction to a patient having the disease but when biopsied the skin does not have any sarcoidal granulomas […]

Morpheaform Sarcoidosis is a rare manifestation of cutaneous Sarcoid that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Morpheaform Sarcoidosis clinically appears like morphea in which the overlying skin is very indurated and scar like with a pink/red/purple hue.  The histology of this variant resembles Sarcoid and has no microscopic features of […]

Ichthyosiform Sarcoid is a cutaneous variant of Sarcoidosis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Ichthyosis is a condition in which scaly plate like coverings occur across the superficial portion of the skin. Ichthyosis can be acquired via medications or through the development of conditions such as Sarcoidosis, […]

Erythrodermic Sarcoid is a rare manifestation of Sarcoidosis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Typically Erythrodermic Sarcoid begins as scaly red plaques scattered throughout the body.  As they become larger, they coalesce into a diffuse all encompassing rash that covers the entire body.  A handful of skin […]

Ocular Sarcoidosis is a condition I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Approximately 20% of patients with Sarcoidosis experience ocular involvement.  From a dermatologic standpoint, lacrimal gland enlargement is the most apparent finding.  The lacrimal gland produces tears and enlarges so that it can be seen protruding from underneath […]

Subcutaneous Sarcoid is a rare type of Sarcoidosis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Subcutaneous Sarcoid clinically appears as indurated red nodules usually located on the arms, legs, chest and back.  The inflammation is located in the third layer of skin. the subcutaneous tissue.  Subcutaneous Sarcoid is […]

Macular Sarcoid is a very common form of cutaneous Sarcoidosis that I encounter in both my The Woodlands dermatology and Conroe dermatology clinics.  Macular Sarcoid clinically appears as flat brown/red lesions usually located on the head and neck.  The appearance of Macular Sarcoid may occasionally be mistaken for granulomatous rosacea both clinically and histologically.

Lupus Pernio is a subtype of Sarcoidosis which I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Lupus Pernio is unrelated to Lupus but is a rather disfiguring form of Sarcoidosis that typically appears as brown to purple plaques affecting the skin of the head and neck.  The skin lesions in […]

Annular Sarcoidosis is a cutaneous morphological variation of Sarcoid that I encounter in both my The Woodlands dermatology and Conroe dermatology offices.  The lesions in Annular Sarcoidosis have a ring like circular shape.  The color of Annular Sarcoid is usually reddish brown but may also appear pink.  The lesions in Annular Sarcoid may resolve with […]

Papular Sarcoid is the most common cutaneous morphology of sarcoidosis which I encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Papular Sarcoid lesions are small raised “bumps” that may have a red, brown or flesh colored appearance.  They are most commonly located on the head and neck.  Occasionally, the papules may fuse […]

Sarcoidosis is a systemic disease of granulomatous inflammation that commonly affects the skin and I occasionally encounter this disease in both my The Woodlands dermatology and Conroe dermatology offices.  Approximately, 25% of patients with Sarcoidosis have cutaneous involvement.  Commonly affected organ systems are the lungs, kidneys, heart, lymph nodes, eyes, bones, spleen, liver and central […]