Treatment for cutaneous sarcoidosis is indicated if the skin findings are disfiguring. Available treatment modalities include topical and intralesional steroids, oral steroids, antimalarials and various immunosuppressive agents. Because cutaneous sarcoidosis may spontaneously regress and the available therapeutic modalities have the potential for substantial toxicity, it is important to carefully weigh the risks of treatment against the benefits. However, patients often seek treatment because of the poor cosmesis of cutaneous sarcoidosis, especially on the face, even if it is not disfiguring. The dermatologist therefore needs to be aware of the evidence-based treatment options available for cutaneous sarcoidosis.
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