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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We report on a 62-year-old black woman with chronic lupus pernio who was test-treated with flashlamp-pumped pulsed dye laser and rapidly developed ulcerative sarcoidosis in her treated and untreated lesions.

Report of a Case

A 62-year-old black woman with a history of hypertension was referred to us with an 11-year history of cutaneous sarcoidosis. Prior treatments with topical, intralesional, and systemic corticosteroids; hydroxychloroquine sulfate; methotrexate; allopurinol, itraconazole; pentoxifylline; minocycline hydrochloride; and mycophenolate mofetil were unsuccessful.

Examination revealed red-violaceous indurated plaques on the face, trunk, and extremities. Findings of pulmonary examination were significant for pulmonary nodules on computed tomography. Because of the recalcitrant nature of the sarcoidosis, we treated her with a flashlamp-pumped pulsed dye laser (FPDL) (Cynosure Inc, Chelmsford, Mass).

Two test areas on the left forehead were treated with FPDL based on a report of its efficacy in lupus pernio.¹ The left lateral forehead lesion was treated with 6.1 and 6.7 J/cm², . . . [Full Text of this Article]

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