Nail Sarcoidosis with and without Systemic Involvement: Report of Two Cases

The most commonly seen nail change in sarcoidosis, often associated with chronic systemic disease, is onychodystrophy. Imaging of hands, feet and chest is of paramount importance when nail sarcoidosis is suspected, for evaluation of bone cysts and pulmonary involvement, respectively. We report 2 cases of sarcoidosis that developed nail involvement – one with pulmonary disease, and the other without any evidence of systemic involvement, which is very rare. © 2015 S. Karger AG, Basel Received: April 27, 2015 Accepted: June 12, 2015 Published online: July 10, 2015 Leandro Noriega Dermatology Clinic Hospital do Servidor Público Municipal de São Paulo 60 Castro Alves, São Paulo, SP 01532000 (Brazil) E-Mail leandronorieg @ gmail.com © 2015 S. Karger AG, Basel 2296–9195/15/0012–0087$39.50/0 www.karger.com/sad Established Facts • Sarcoidosis is a multisystemic disorder characterized by the formation of noncaseating epithelioid granulomas. • Nail involvement in sarcoidosis is rare.