Topical Pimecrolimus as a New Optional Treatment in Cutaneous Sarcoidosis of Lichenoid Type

Abstract

We report the case of cutaneous sarcoidosis of lichenoid type successfully treated with pimecrolimus. For the first time in the literature, we propose the use of this topical calcineurin inhibitor for the treatment of the cases refractory to common therapy regimens.

Lichenoid Sarcoidosis Simulating Pseudofolliculitis Barbae

“…More recently, topical pimecrolimus 1% was applied after topical clobetasol failed to treat lichenoid sarcoidosis lesions on the right knee; after 12 months, the patient remained relapse-free [5].…”

“…Lichenoid sarcoidosis is an extremely rare cutaneous variant of sarcoidosis, occurring in approximately 1-2% of all cutaneous presentations [1]. It is classically described in Asian children and usually affects the eyes and joints, sparing respiratory involvement [2] .However, case reports in adults and the elderly are frequent [3][4][5][6][7].…”