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Cutaneous Sarcoidosis Treated as Seborrheic Dermatitis

Adeline Mei-Yen Yong and Huma Jaffar

Sarcoidosis is a multisystem disorder characterised by noncaseating granulomas in various organs and tissue. Common sites include the lymph nodes, lungs, spleen, liver, eyes, skin and joints. Cutaneous sarcoidosis is rare in Asia, and can occur in approximately 25 percent of patients, with vastly heterogeneous morphologic manifestations. Skin manifestations of sarcoidosis can be disfiguring, have prognostic importance, and may not be readily diagnosed even by dermatologists. We present a case of cutaneous sarcoidosis in Asia, initially treated as seborrheic dermatitis and responding to systemic therapy involving glucocorticoid and hydroxy chloroquine.

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