55 yr. old BF with systemic Sarcoidosis Rx'd by internist with Prednisone with two ping pong ball sized nodules on fingers. Excised X 2 by surgeon, but recurs. Rx with Methotrexate and antimalarials not tolerated.
Intralesional steroids work well on facial lesions, but too painful on fingers.
Contact Rosemary Cook at the anti-infective division for details. Its really not a big deal to do. There's a company in NJ that makes the stuff, Carville used to do it but now is out of that business. I have had success treating cutaneous sarcoidosis with a combination of allopurinol and azathioprim. Consider a digital nerve block before injecting the lesions on the fingers.