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• W2101471600 abstract "To the Editor: We thank Dr Kanazawa et al for their comments on our article “Sarcoidosis: a comprehensive review and update for the dermatologist.”1Haimovic A. Sanchez M. Judson M.A. Prystowsky S. Sarcoidosis: a comprehensive review and update for the dermatologist: part I. Cutaneous disease.J Am Acad Dermatol. 2012; 66 (quiz 717-8): 699.e1-699.e18PubMed Scopus (192) Google Scholar We agree that our description of the lichenoid variant in Table II of our article may be seen in early-onset sarcoidosis (EOS). EOS typically occurs in children younger than 5 years of age; affects the skin, joints, and eyes; and, in contrast to adult-onset sarcoidosis, usually spares the lungs and lymph nodes.2Shetty A.K. Gedalia A. Childhood sarcoidosis: a rare but fascinating disorder.Pediatr Rheumatol Online J. 2008; 6: 16Crossref PubMed Scopus (121) Google Scholar Blau syndrome (autosomally inherited granulomatous eruption, arthritis/tenosynovitis, and uveitis) and EOS may share identical phenotypes.2Shetty A.K. Gedalia A. Childhood sarcoidosis: a rare but fascinating disorder.Pediatr Rheumatol Online J. 2008; 6: 16Crossref PubMed Scopus (121) Google Scholar, 3Becker M.L. Rose C.D. Blau syndrome and related genetic disorders causing childhood arthritis.Curr Rheumatol Rep. 2005; 7: 427-433Crossref PubMed Scopus (56) Google Scholar Blau syndrome has been demonstrated to be a result of mutations in the NOD2 gene.4Miceli-Richard C. Lesage S. Rybojad M. Prieur A.M. Manouvrier-Hanu S. Häfner R. et al.CARD15 mutations in Blau syndrome.Nat Genet. 2001; 29: 19-20Crossref PubMed Scopus (798) Google Scholar These mutations in NOD2 have also been shown to be present in some patients with EOS.5Kanazawa N. Okafuji I. Kambe N. Nishikomori R. Nakata-Hizume M. Nagai S. et al.Early-onset sarcoidosis and CARD15 mutations with constitutive nuclear factor-kappaB activation: common genetic etiology with Blau syndrome.Blood. 2005; 105: 1195-1197Crossref PubMed Scopus (407) Google Scholar, 6Coto-Segura P. Mallo-Garcia S. Costa-Romero M. Arostegui J.I. Yague J. Ramos-Polo E. et al.A sporadic case of early-onset sarcoidosis resembling Blau syndrome due to the recurrent R334W missense mutation on the NOD2 gene.Br J Dermatol. 2007; 157: 1257-1259Crossref PubMed Scopus (8) Google Scholar, 7Rosé C.D. Wouters C.H. Meiorin S. Doyle T.M. Davey M.P. Rosenbaum J.T. et al.Pediatric granulomatous arthritis: an international registry.Arthritis Rheum. 2006; 54: 3337-3344Crossref PubMed Scopus (170) Google Scholar We agree that in young children with isolated granulomatous dermatitis or those who have eye or joint findings, Blau syndrome should be a diagnostic consideration. We would like to clarify that although lichenoid sarcoidosis is more often seen in children,8Tilly J.J. Drolet B.A. Esterly N.B. Lichenoid eruptions in children.J Am Acad Dermatol. 2004; 51: 606-624Abstract Full Text Full Text PDF PubMed Scopus (103) Google Scholar, 9Seo S.K. Yeum J.S. Suh J.C. Na G.Y. Lichenoid sarcoidosis in a 3-year-old girl.Pediatr Dermatol. 2001; 18: 384-387Crossref PubMed Scopus (22) Google Scholar it can affect individuals of all ages.10Nakahigashi K. Miyachi Y. Utani A. Extensive lichenoid sarcoidosis intermingled with white papules.J Dermatol. 2011; 38: 829-832Crossref PubMed Scopus (2) Google Scholar, 11Fernandes J.D. Lourenço S.V. Nico M.M.S. Violaceous and lichenoid papules on the trunk of a 61-year-old woman.Clin Exp Dermatol. 2009; 34: 119-120Crossref PubMed Scopus (3) Google Scholar Monogenic early-onset sarcoidosis is no longer a variant of “idiopathic” sarcoidosisJournal of the American Academy of DermatologyVol. 69Issue 1PreviewTo the Editor: We read with great interest the recent CME review on cutaneous sarcoidosis by Haimovic et al.1 Table II of their article lists the symptoms of a “lichenoid” variant that the authors describe as “most frequently reported in young children who presented with eye and joint complications and no respiratory involvement.”1 This special type is also termed “early-onset sarcoidosis.” Although the authors did not comment on this, it should be noted that early-onset sarcoidosis is caused by NOD2 mutations and is considered to be the same disease as familial Blau syndrome, a hereditary autoinflammatory disease. Full-Text PDF" @default.
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• W2101471600 title "Reply to: Monogenic early-onset sarcoidosis is no longer a variant of “idiopathic” sarcoidosis" @default.
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