Volume 4, Issue 9, Pages (October 2018)

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Volume 4, Issue 9, Pages 866-868 (October 2018) Chronic verrucous sarcoidosis associated with human papillomavirus infection: Improvement with adalimumab Caroline E. Hagan, MD, Maureen Offiah, MD, Robert T. Brodell, MD, Jeremy D. Jackson, MD JAAD Case Reports Volume 4, Issue 9, Pages 866-868 (October 2018) DOI: 10.1016/j.jdcr.2018.06.011 Copyright © 2018 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Lesion at initial presentation shows annular verrucous lesions overlying sarcoidal papules and plaques. JAAD Case Reports 2018 4, 866-868DOI: (10.1016/j.jdcr.2018.06.011) Copyright © 2018 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 A, Lesion progression 2 years later. Worsening disease shows thickened annular verrucous lesions overlying sarcoidal changes despite a variety of treatments including cryotherapy, intralesional triamcinolone, hydroxycholorquine, methotrexate, and imiquimod. B, Close-up view of the right nasal sidewall and right cheek refractive to treatments noted in previous figure. JAAD Case Reports 2018 4, 866-868DOI: (10.1016/j.jdcr.2018.06.011) Copyright © 2018 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 A, Annular lesions 4 months after starting adalimumab treatment. Note significant improvement in background sarcoidosis papules and plaques in addition to thinning borders of verrucous lesions. B, Close-up view with near-complete thinning of the verrucous border and resolution of hyperpigmentated annular lesions 4 months after adalimumab initiation. JAAD Case Reports 2018 4, 866-868DOI: (10.1016/j.jdcr.2018.06.011) Copyright © 2018 American Academy of Dermatology, Inc. Terms and Conditions