Treatment: The treatment for sarcoid has been consistent over time and includes nonspecific immunosuppression, most commonly with oral corticosteroids such as prednisone. Isolated cutaneous findings may be treated with topical corticosteroids or intralesional steroid injections. Methotrexate is a steroid-sparing agent that is used for difficult-to-control disease and for lupus pernio. The anti–tumor necrosis factor medications, infliximab and adalimumab, have been used with some success. The use of hydroxychloroquine has also been advocated for treatment of cutaneous sarcoid.
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