Nodular lesions on fingertips. Diagnosis: cutaneous sarcoidosis

A case of cutaneous acral sarcoidosis with response to allopurinol

“…It occurs more frequently in patients of Afro-Carribean origin and the prognosis is said to be worse in this group. 1 We report an unusual case of acral sarcoidosis presenting with subcutaneous nodules, inflammation and cutaneous ulceration of the digits without evidence of arthropathy. Acral sarcoidosis is a difficult condition to treat.…”

“…In the first, the clinical picture was similar but the patient refused treatment. 1 In the second, subcutaneous nodules and cutaneous ulceration accompanied chronic sarcoid arthritis. 2 In our patient there was no evidence of erosive disease.…”