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Angiolupoid sarcoidosis rather than rosacea: use of hydroxychloroquine
What it means for practice
Consider sarcoidosis in the differential diagnosis of a unilateral facial rash. This case highlights the role of biopsy and attention to possible pulmonary manifestations.
Summary
Diagnostic presentation
The abstract attached to the link describes a 55-year-old woman with a unilateral facial rash. Rosacea, lupus tumidus, and sarcoidosis were initially considered. Biopsy confirmed angiolupoid sarcoidosis. Pulmonary involvement causing a persistent cough was also reported. The presentation therefore extended beyond cutaneous manifestations alone.
Treatment
The patient received hydroxychloroquine and corticosteroids. The abstract states that treatment followed European guidelines and emphasizes the effectiveness of combining hydroxychloroquine with topical corticosteroids. However, the specific guidelines, doses, treatment duration, and quantitative measures of response are not provided in the available account.
Limits of interpretation
Only part of the main text is accessible; information on diagnosis and treatment comes from the attached abstract. This is an individual clinical case, not a comparative treatment study. The information provided is insufficient to assess the magnitude of benefit or the safety of the combination. The practical focus is the differential diagnosis of a unilateral rash and recognition of possible extracutaneous manifestations of sarcoidosis.
Source
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Quel diagnostic évoquer ? Une rosacée unilatérale ?. Dermatologie Pratique.
Reviewed by: DrugCard editorial team ·
This article does not replace clinical judgement. Disclaimer