Conclusions

The evidence-based data on non-oral therapies for cutaneous sarcoidosis are extremely sparse. There are no RCTs published proving that intralesional or topical steroids are effective in the treatment of cutaneous sarcoidosis. Intralesional and topical steroids, as with oral steroids, have been accepted as first-line therapies on the basis of clinicians' experience, with no definitive dosage or duration of therapy identified. The physical modalities of laser and plastic surgery have been reported as successful in isolated treatment-resistant cases, but larger studies are lacking.

Phototherapy (PUVA and UVA1 )85 86 and phonophoresis87 are other modalities reported in isolated case reports to be beneficial.

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