Correspondence |

Cutaneous Sarcoidosis Successfully Treated With Low Doses of Thalidomide

Ludovic Rousseau, MD; Marie Beylot-Barry, MD; Marie-Sylvie Doutre, MD; Claire Beylot, MD
Arch Dermatol. 1998;134(8):1045-1046. doi:.
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Corticosteroids have a well-established role in the treatment of sarcoidosis but their adverse effects limit their use as first-line therapy, especially when sarcoidosis involves solely the skin. Uncontrolled reports have proposed alternative treatments for sarcoidosis, such as antimalarials or methotrexate.1 However, indications are not well established.

We report herein a case of cutaneous sarcoidosis resistant to other conventional therapies, then successfully treated with thalidomide. We discuss the advantage of using this treatment in sarcoidosis.

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Figure 1.

Lesions before treatment with thalidomide: large inflammatory nodules on the arms.

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Figure 2.

Improvement of the lesions in the same patient after 18 months of treatment with low doses of thalidomide.

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