Subcutaneous and elephantine sarcoidosis successfully treated with chloroquine

Abstract

The case of a man, who presented with subcutaneous nodules and plaques as well as marked lymphoedema is reported here. Elephantiasis sarcoidosis is an exceptional clinical presentation. Physical examination and investigations failed to demonstrate any evidence of systemic sarcoidosis elsewhere. Chloroquine led to a dramatic improvement within two months. This case is compared with those recently published and it is concluded that chloroquine should be the therapy of choice for severe cutaneous sarcoidosis.