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Acne vulgaris

Identified by the presence of comedones (blackheads and whiteheads), which are absent in the papular lesions of sarcoidosis.

Discoid lupus erythematosis

Presents as atrophic, scaly plaques with follicular plugging and often results in scarring, unlike the non-scarring papules of sarcoidosis.

Granuloma annulare

Characterized by annular arrangements of skin-colored or erythematous papules, often on the distal extremities, and lacks the systemic involvement of sarcoidosis.

Lichen planus

Recognized by its pruritic, purple, polygonal, planar papules and plaques, often with Wickham's striae (fine white lines on the surface).

Lupus vulgaris

A form of cutaneous tuberculosis that classically shows 'apple-jelly' nodules (yellowish-brown color) upon diascopy.

Perioral dermatitis

Presents as clusters of small papules and pustules around the mouth, nose, and eyes, sparing the vermilion border, a distinct pattern from sarcoidosis.

Polymorphic light eruption

An itchy rash that appears hours to days after sun exposure and resolves, unlike the persistent nature of sarcoidosis lesions.

Rosacea

Distinguished by background erythema, telangiectasias, and a lack of comedones, primarily on the central face.

Subacute lupus erythematosis

Presents as photosensitive, annular, or papulosquamous plaques and is strongly associated with anti-Ro/SSA antibodies.

Tinea faciale

An asymmetric fungal infection with an active, scaling border that is confirmed by a positive KOH preparation.

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