Damsky William, King Brett
Department of Dermatology, Yale School of Medicine, New Haven, Connecticut, USA; Department of Pathology, Yale School of Medicine, New Haven, Connecticut, USA.
Department of Dermatology, Yale School of Medicine, New Haven, Connecticut, USA.
Clin Dermatol. 2025 Mar-Apr;43(2):177-190. doi: 10.1016/j.clindermatol.2024.12.017. Epub 2024 Dec 16.
Sarcoidosis is a multisystem inflammatory disorder that most commonly affects the lungs, lymphatic system, eyes, and skin. Cutaneous involvement is present in approximately 20% to 30% patients. Prednisone and corticotropin repository are the only Food and Drug Administration-approved therapies for sarcoidosis. We review the varied cutaneous manifestations of sarcoidosis and the recommended evaluation for this disease. We also discuss histopathologic findings and outline disease pathogenesis, incorporating newer molecular data. Treatment approaches for cutaneous sarcoidosis and their associated levels of evidence are also delineated.
结节病是一种多系统炎症性疾病,最常累及肺部、淋巴系统、眼睛和皮肤。约20%至30%的患者会出现皮肤受累。泼尼松和促肾上腺皮质激素长效注射剂是美国食品药品监督管理局批准的仅有的用于结节病的疗法。我们回顾了结节病的各种皮肤表现以及针对该疾病的推荐评估方法。我们还讨论了组织病理学发现,并结合最新的分子数据概述了疾病发病机制。文中还描述了皮肤结节病的治疗方法及其相关的证据级别。