Abstract
Cutaneous Sarcoidosis on Black Skin: Epidemiological, Clinical and Therapeutic Aspects in Dermatology, Lome (Togo)
Highlights
Sarcoidosis is a systemic granulomatous disease of unknown etiology with skin manifestations [1,2]
Patients with isolated cutaneous sarcoidosis were treated with topical corticosteroid (8 cases) or hydroxychloroquine
Our survey shows that the patterns of cutaneous sarcoidosis are similar to that reported from other sub-Saharan African countries with a few distinguishing particularities
Summary
18 cases of cutaneous sarcoidosis were diagnosed; of them, 14 were females and 4 were males. Extra cutaneous lesions were essentially lymph nodes (5 cases) and respiratory symptoms (4 cases). Chest X-rays was abnormal in 9 of the 14 patients in whom it had been performed. The pulmonary functional test performed in 3 patients with respiratory involvement showed a restrictive lung syndrome. A tuberculin anergy was found in 2 of the 6 patients in whom tuberculin intradermal test was performed. Patients with isolated cutaneous sarcoidosis were treated with topical corticosteroid (8 cases) or hydroxychloroquine (one case). The nine other patients were treated with oral corticosteroids, which were replaced by methotrexate after a corticodependence in 2 cases. We recorded 4 cases of clinical remission (2 cases of isolated cutaneous sarcoidosis and 2 cases of skin disease with systemic sarcoidosis). The 2 cases of skin disease with systemic sarcoidosis had recurrence 8 months and 12 months later. The remaining 14 patients were lost to follow-up after an average follow-up period of 4 months
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