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INTRODUCTION

KEY POINTS

  • Sarcoidosis can be the great mimicker and can present with various morphologies and subtypes. It can be mistaken for numerous other conditions including basal and squamous cell carcinoma, lupus, and mycosis fungoides.

  • In skin of color, presentations can be pink, violaceous, dark brown, or skin-colored papules and plaques which can have overlying scale. It can also present as hypopigmented patches.

  • In lighter skin, it tends to present with a brighter pink to red color and can also be papule, plaque or patch morphology.

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FIGURE 42-1.

Deep red to violaceous papules, patches, and plaques along the cheeks, nose, and upper cutaneous and mucosal lips. (From Taylor SC, Kelly AP, Lim HW, et al. Taylor and Kelly’s Dermatology for Skin of Color, 2nd ed. New York, NY: McGraw Hill; 2016, Figure 74-4. Reproduced with permission from Visual Dx.)

FIGURE 42-2.

Orange-brown papules presenting along the lower eyelid, cheek, and nose. Note the lack of scale in this presentation. (Reproduced with permission from Wolff K, Johnson RA, Saavedra AP, et al. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 8th ed. New York, NY: McGraw Hill; 2017, Figure 14-70.)

FIGURE 42-3.

Fine pink papules coalescing into a plaque along the nasal rim in a Black woman. (From Usatine RP, Smith MA, Mayeaux EJ Jr, et al. The Color Atlas and Synopsis of Family Medicine, 3rd ed. New York, NY: McGraw Hill; 2019, Figure 184-2. Reproduced with permission from Richard P. Usatine, MD.)

FIGURE 42-4.

Clustered papules coalescing into a confluent plaque along the nasal rim and columella. Note the degree of infiltration from these plaques and the disfigurement it is causing to the normal nasal architecture. (From Taylor SC, Kelly AP, Lim HW, et al. Taylor and Kelly’s Dermatology for Skin of Color, 2nd ed. New York, NY: McGraw Hill; 2016, Figure 95-49. Reproduced with permission from Dr. Anisa Mosam.)

FIGURE 42-5.

Pink and violaceous scaly patches and plaques on the face, with increased predominance periocularly and periorally. (From Usatine RP, Smith MA, Mayeaux EJ Jr, et al. The Color Atlas and Synopsis of Family Medicine, 3rd ed. New York, NY: McGraw Hill; 2019, Figure 184-13. Reproduced with permission from Richard P. Usatine, MD.)

FIGURE 42-6.

Bright-red plaques along the inferior nasal ala rim and columella. Note the background erythema on the bilateral cheeks. (Reproduced with permission from Kang S, Amagai M, Bruckner AL, et al. Fitzpatrick’s Dermatology, 9th ed. New York, NY: McGraw Hill; 2019, Figure 35-7.)

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