Public Health and Primary CareCASE REPORT

Scalp Sarcoidosis Presenting as Cicatricial Alopecia

Joseph Prohaska, DO; Elizabeth Demaree, DO; James Powers, DO; and Christopher Cook, DO
Notes and Affiliations
Notes and Affiliations

Accepted: February 8, 2018

Published: December 1, 2018

J Osteopath Med; 118(12): 824-826

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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