Sarcoidosis involves the skin in between 9 and 37% of persons and is more common in
African Americans than in their white counterparts.
[2] The skin is the second most commonly affected organ, after the lungs.
[21] The most common lesions are
erythema nodosum, plaques,
maculopapular eruptions, subcutaneous nodules, and
lupus pernio.
[21] Treatment is not required, since the lesions usually resolve spontaneously in two to four weeks. Although it may be disfiguring, cutaneous sarcoidosis rarely causes major problems.
[2][22][23] Sarcoidosis of the scalp presents with diffuse or patchy hair loss.
[24][25]
The frequency of cardiac involvement varies and is significantly influenced by race; in Japan over 25% of persons with sarcoidosis experience symptomatic cardiac involvement, whereas in the US and Europe only about 5% of cases present with cardiac involvement.
[2] Autopsy studies in the US have revealed a frequency of cardiac involvement of about 20–30%, whereas autopsy studies in Japan have shown a frequency of 60%.
[13] The presentation of cardiac sarcoidosis can range from asymptomatic conduction abnormalities to fatal ventricular arrhythmia.
[26] Conduction abnormalities are the most common cardiac manifestations of sarcoidosis among persons and can include complete
heart block.
[27] Second to conduction abnormalities, in frequency, are ventricular arrhythmias and occurs in about 23% of persons with cardiac involvement.
[27] Sudden cardiac death, either due to ventricular arrhythmias or complete heart block is a rare complication of cardiac sarcoidosis.
[28][29] Cardiac sarcoidosis can cause fibrosis, granuloma formation or the accumulation of fluid in the interstitium of the heart or a combination of the former two.
[30]
Eye involvement occurs in about 10–90% of cases.
[13] Manifestations in the eye include
uveitis,
uveoparotitis, and retinal inflammation, which may result in loss of visual acuity or blindness.
[31] The most common ophthalmologic manifestation of sarcoidosis is
uveitis.
[13][32] The combination of anterior uveitis,
parotitis, VII cranial nerve paralysis and fever is called uveoparotid fever or Heerfordt syndrome (
D86.8). Development of scleral nodule associated with sarcoidosis have been observed.
[33]
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