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. 2012 Jul 26;2(1):11. doi: 10.1007/s13555-012-0011-9

Table 1.

Patient demographic data

Case 1 Case 2 Case 3
Demographics 43-year-old African American man 53-year-old African American woman 48-year-old African American woman
Other organ involvement Pulmonary Pulmonary and eye Pulmonary and eye
Cutaneous features at diagnosis Nodular lesions on face, eyelids, and earlobes Multiple erythematous to violaceous papules on eyelids, right cheek, tip of nose, and corner of mouth Multiple erythematous annular plaques around eyes, nose, perioral area, neck, arm, back and knees
Histopathology From right cheek: granulomatous inflammatory infiltrate (lymphocytes, histiocytes, and giant cells) From right cheek: non-necrotizing granulomas (epithelioid cells and multinucleated giant cells) N/A
Previous treatment before initiating infliximab

Prednisone

Hydroxychloroquine

Intralesional corticosteroids

Prednisone

Hydroxychloroquine

Methotrexate

Minocycline

Topical tacrolimus

Topical imiquimod

Mycophenolate mofetil

Prednisone

Hydroxychloroquine

Methotrexate

Pulse methyl prednisone

Thalidomide

Topical corticosteroids

Therapeutic side effects or complications

A significant amount of weight gain

Hypertension

New onset diabetes

A spontaneous hairline left 5th metatarsal fracture

Hypertension

Diabetes

Right hip avascular necrosis

Corticosteroids-induced gastrointestinal upset, fatigue

Hydroxychloroquine-induced diarrhea and abdominal pain

Methotrexate-induced leucopenia and abnormal liver function tests

Thalidomide-induced peripheral neuropathy

Duration of disease before infliximab therapy 2 years 18 years 8 years
Treatments used at the time of infliximab initiation

Hydroxychloroquine (200 mg twice a day)

Intralesional corticosteroids

Mycophenolate mofetil (4 g/day)

Prednisone (15 mg/day)

Prednisone (40 mg/day)

Thalidomide (100 mg/day)

Infliximab dose, duration 5 mg/kg on weeks 0, 2, and 6, then every 8 weeks 6 months later: add methotrexate 7.5 mg weekly after tapering prednisone 6 months later increased infliximab to 5 mg/kg and 7.5 mg/kg every 7 weeks 9 months later increased infliximab to 10 mg/kg every 5 weeks 7.5 mg/kg on weeks 0, 2, and 6, then every 8 weeks

7.5 mg/kg on weeks 0, 2, and 6, then every 8 weeks

4 years later tapered to 5 mg/kg every 16 weeks

3 years later taken off infliximab

Time to achieve clinical response 3 years 5 months 4 years
Treatments at the time of last follow-up

Infliximab (10 mg/kg every 5 weeks)

Methotrexate (7.5 mg weekly)

Prednisone (2.5 mg/day every other day)

Infliximab (7.5 mg/kg every 8 weeks) Discontinued infliximab
Follow-up Still gradually increase new lesions Improvement after mycophenolate mofetil and prednisone discontinuation No new lesions