{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:57Z","timestamp":1756425777892,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,10,31]]},"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:p>A 67-year-old man with a medical history of multiorgan sarcoidosis was admitted to the hospital with skin ulceration and a superimposed polymicrobial infection that had failed outpatient management. The patient\u2019s outpatient regimen included doxycycline, ciprofloxacin and moderate-dose prednisone therapy for a coinfection with <jats:italic>Pseudomonas aeruginosa<\/jats:italic> and methicillin-susceptible <jats:italic>Staphylococcus aureus<\/jats:italic>. The patient presented after a syncopal episode initially thought to be due to severe dehydration. Owing to concern for cardiac sarcoidosis as well as worsening skin lesions, he was admitted to the hospital for cardiac monitoring and intravenous antibiotics. On admission, we broadened antibiotic coverage and initiated high-dose steroids at 1\u2009mg\/kg\/day of prednisone. He was discharged on intravenous antibiotics and a slow steroid taper 3\u2009days later. At the patient\u2019s 1-month and 5-month follow-up clinic visits, he demonstrated remarkable improvement of his scalp and facial wounds.<\/jats:p>","DOI":"10.1136\/bcr-2019-231769","type":"journal-article","created":{"date-parts":[[2019,11,20]],"date-time":"2019-11-20T05:08:35Z","timestamp":1574226515000},"page":"e231769","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Sarcoidosis presenting as facial and scalp ulceration with secondary bacterial infection of the skin"],"prefix":"10.1136","volume":"12","author":[{"given":"Georgi","family":"Fram","sequence":"first","affiliation":[{"name":"Henry Ford Hospital, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Smita","family":"Kohli","sequence":"additional","affiliation":[{"name":"Henry Ford Hospital, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Jiang","sequence":"additional","affiliation":[{"name":"Henry Ford Hospital, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Kaatz","sequence":"additional","affiliation":[{"name":"Henry Ford Hospital, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,11,19]]},"reference":[{"key":"2025082800403900000_12.11.e231769.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0560.1982.tb01041.x"},{"key":"2025082800403900000_12.11.e231769.2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2011.226076"},{"key":"2025082800403900000_12.11.e231769.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra071714"},{"key":"2025082800403900000_12.11.e231769.4","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1981.01650040019012"},{"key":"2025082800403900000_12.11.e231769.5","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1111\/ijd.12248","article-title":"Cutaneous sarcoidosis: clinicopathologic study of 76 patients from Lebanon","volume":"54","author":"Ishak","year":"2015","journal-title":"Int J Dermatol"},{"key":"2025082800403900000_12.11.e231769.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2007.03.007"},{"key":"2025082800403900000_12.11.e231769.7","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1997.03890380087013"},{"key":"2025082800403900000_12.11.e231769.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(87)70070-X"},{"key":"2025082800403900000_12.11.e231769.9","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1111\/dth.12048","article-title":"Atypical ulcers","volume":"26","author":"Hoffman","year":"2013","journal-title":"Dermatol Ther"},{"key":"2025082800403900000_12.11.e231769.10","first-page":"312","article-title":"Ulcerative sarcoidosis: a prototypical presentation and review","volume":"100","author":"Powell","year":"2017","journal-title":"Cutis"},{"key":"2025082800403900000_12.11.e231769.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2007.03.011"},{"key":"2025082800403900000_12.11.e231769.12","doi-asserted-by":"publisher","DOI":"10.1067\/mjd.2001.114596"},{"key":"2025082800403900000_12.11.e231769.13","doi-asserted-by":"publisher","DOI":"10.1016\/0738-081X(86)90036-2"},{"key":"2025082800403900000_12.11.e231769.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2006.06.019"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-231769","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:40:47Z","timestamp":1756366847000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-231769"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11]]},"references-count":14,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2019,11,19]]},"published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1136\/bcr-2019-231769"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-231769","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,11]]}}}