Case Report  |   December 2018
Scalp Sarcoidosis Presenting as Cicatricial Alopecia
Author Notes
  • From Sampson Regional Medical Center in Clinton, North Carolina (Drs Prohaska and Cook); Northeast Regional Medical Center in Kirksville, Missouri (Dr Demaree); and Campbell University School of Osteopathic Medicine in Lillington, North Carolina (Dr Powers). Dr Prohaska is a fourth-year resident, and Dr Demaree is a second-year resident. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Joseph Prohaska, DO, 1099 Medical Center Dr, Ste 201, Wilmington, NC 28401-7346. Email: joecpro09@gmail.com
     
Article Information
Pain Management/Palliative Care / Pulmonary Disorders
Case Report   |   December 2018
Scalp Sarcoidosis Presenting as Cicatricial Alopecia
The Journal of the American Osteopathic Association, December 2018, Vol. 118, 824-826. doi:10.7556/jaoa.2018.175
The Journal of the American Osteopathic Association, December 2018, Vol. 118, 824-826. doi:10.7556/jaoa.2018.175
Abstract

Sarcoidosis is a granulomatous condition that has a highly variable presentation. One rare presentation of sarcoidosis is cutaneous scalp sarcoidosis. Usually scalp sarcoid presents as a scarring alopecia, but it can be nonscarring. The presence of sarcoidal lesions on the scalp is associated with systemic disease, as are other cutaneous manifestations of sarcoidosis. The authors present the case of a 64-year-old woman with a history of sarcoidosis who presented with alopecia and hypopigmented patches on her scalp. She also had papular sarcoid lesions on her upper back and a history of pulmonary involvement, which is consistent with previous reports in the literature. The condition subsequently improved with topical clobetasol propionate.

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