Appearances of cutaneous sarcoidosis are both widespread and
diverse. It is even possible for one particular sufferer to have differing
varieties of sarcoid skin lesions simultaneously. Due to the varied skin
manifestations, a dermatologist may be the most likely person to diagnose
sarcoidosis, but if a person visits a physician displaying skin issues, it is
advisable for the doctor to consider that sarcoidosis may be the source of the
problems.
Lupus Pernio
Lupus pernio, which is not related to lupus, is not another
disease, but a chronic hardening of the face, typically materialising with a
violet colouring to the cheeks, nose, lips and ears. Lupus pernio lesions can
eat away into bone or cartilage and can can cause permanent disfigurement and
low self esteem issues, particularly as the lesions may be facially located and
highly noticeable.
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| Lupus Pernio |
Occasionally, these lesions will look as though there are
small lumps along the edges, especially if sited at the edge of the nose. Lupus
pernio is similar to other cutaneous sarcoidosis lesions in that they can
manifest themselves at the sites of old injuries and scars- both locations that
can prove to be unresponsive to typical immunosuppressant medication. As
exposure to bright light, cold or wind can promote the growth of these lesions
on the face, nose and hands, it is vital that sarcoidosis patients protect
these areas. Lupus pernio lesions are considered to be the most indicative
diagnostic feature of sarcoidosis, but not all sarcoidosis patients will be
affected by these lesions.
Erythema Nodosum
Erythema nodosum are raised tender, reddish, painful lumps,
most commonly located to the front of the legs, just below the knees. The
lesions do not involve granulomas of the skin, but are a type of skin
inflammation of the fatty layer beneath the skin, varying in size from one to
five centimetres. They usually clear up suddenly by themselves, diminishing in
size and becoming less inflamed, until they completely disappear. Reappearances
elsewhere may occur for a while, but they will eventually disappear. Chronic
erythema nodusum, however, can appear with or without the involvement of any
underlying disease.
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| Erythema Nodosum |
Typical cutaneous sarcoidosis treatment usually involves
strong anti-inflammatory drugs, corticosteroids, but care needs to be taken as
prolonged use of this type of medication can lead to hazardous side effects
such as diabetes.
Alternatively, a natural sarcoidosis treatment in which a
vital element is the pursuance of a healthy lifestyle, including exercise and a
healthy diet, can provide a positive outcome, avoiding the use of potentially
dangerous drugs.
