Systemic Sarcoidosis After Polycaprolactone Fillers Successfully Treated with Upadacitinib

Authors

  • Célestine Behaghel Department of Dermatology, Cliniques universitaires Saint-Luc, Université catholique de Louvain (UCLouvain), Avenue Hippocrate 10, 1200, Brussels, Belgium
  • Lucie Pothen Department of Internal Medicine and Infectious Diseases, Cliniques universitaires Saint-Luc, Université catholique de Louvain (UCLouvain), Avenue Hippocrate 10, 1200, Brussels, Belgium https://orcid.org/0000-0001-8424-0623
  • Thomas Gérard Department of Nuclear Medicine, Cliniques universitaires Saint- Luc, Université catholique de Louvain (UCLouvain), Brussels, Belgium https://orcid.org/0000-0001-7997-3945
  • Liliane Marot Department of Dermatology, Cliniques universitaires Saint-Luc, Université catholique de Louvain (UCLouvain), Avenue Hippocrate 10, 1200, Brussels, Belgium; Department of Pathology, Cliniques universitaires Saint-Luc, Université catholique de Louvain (UCLouvain), Avenue Hippocrate 10, 1200, Brussels, Belgium
  • Marie Baeck Department of Dermatology, Cliniques universitaires Saint-Luc, Université catholique de Louvain (UCLouvain), Avenue Hippocrate 10, 1200, Brussels, Belgium https://orcid.org/0000-0003-0499-7939
  • Axel De Greef Department of Dermatology, Cliniques universitaires Saint-Luc, Université catholique de Louvain (UCLouvain), Avenue Hippocrate 10, 1200, Brussels, Belgiumx https://orcid.org/0000-0003-0713-8283

DOI:

https://doi.org/10.2340/actadv.v106.adv-2026-0841

Keywords:

cosmetics, procedures, sarcoidosis, dermal fillers, polycaprolactone, upadacitinib, Janus kinase inhibitor, sarcoidosisupadacitinib

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References

Lin SL, Christen MO. Polycaprolactone-based dermal filler complications: A retrospective study of 1111 treatments. J Cosmet Dermatol 2020; 19: 1907–1914. DOI: https://doi.org/10.1111/jocd.13518

Philibert F, Gras-Champel V, Chaby G, Plantier F, Cartier H, Cogrel O, et al. Granulomes après injection d’Ellansé®, résolutifs sous méthotrexate. Annales de Dermatologie et de Vénéréologie 2020; 147: 525–529. DOI: https://doi.org/10.1016/j.annder.2020.02.009

Ortiz-Álvarez J, Lebrón-Martín JA, Rodríguez Fernández-Freire L, Zulueta Dorado T, García Morillo JS. Cutaneous and ganglion sarcoidosis induced by polycaprolactone facial filler: a new expression of ASIA syndrome? Eur J Case Rep Intern Med 2021; 8: 002652. DOI: https://doi.org/10.12890/2021_002652

Marcoval J, Iriarte A, Rocamora G, Mañá J. Scar sarcoidosis: Clinical features and prognostic significance. Sarcoidosis Vasc Diffuse Lung Dis 2024; 41: e2024046.

Damsky W, Wang A, Kim DJ, Young BD, Singh K, Murphy MJ, et al. Inhibition of type 1 immunity with tofacitinib is associated with marked improvement in longstanding sarcoidosis. Nat Commun 2022; 13: 3140. DOI: https://doi.org/10.1038/s41467-022-30615-x

Waly YM, Sharafeldin ABK, Akhtar MU, Chilmeran Z, Fredericks S. A review of sarcoidosis etiology, diagnosis and treatment. Front Med (Lausanne) 2025; 12: 1558049. DOI: https://doi.org/10.3389/fmed.2025.1558049

Mansouri P, Farshi S. The New Frontier of JAK Inhibitors: significant therapeutic response to tofacitinib in a patient with granulomatous reaction to filler in the buttocks. J Cosmet Dermatol 2024; 23: 3924–3926. DOI: https://doi.org/10.1111/jocd.16578

Damsky W, Thakral D, Emeagwali N, Galan A, King B. Tofacitinib treatment and molecular analysis of cutaneous sarcoidosis. N Engl J Med 2018; 379: 2540–2546. DOI: https://doi.org/10.1056/NEJMoa1805958

De Greef A, Benjelloun G, Harkemanne E, Baeck M. Successful treatment of disseminated granuloma annulare with upadacitinib. Dermatol Ther (Heidelb) 2024; 14: 813–817. DOI: https://doi.org/10.1007/s13555-024-01117-z

De Greef A, Peeters C, Dewit O, de Montjoye L, Baeck M. Upadacitinib for treatment of granulomatous cheilitis. JAMA Dermatol 2024; 160: 1001–1003. DOI: https://doi.org/10.1001/jamadermatol.2024.2378

Published

2026-11-04

How to Cite

Behaghel, C., Pothen, L., Gérard, T., Marot, L., Baeck, M., & De Greef, A. (2026). Systemic Sarcoidosis After Polycaprolactone Fillers Successfully Treated with Upadacitinib. Acta Dermato-Venereologica, 106, adv–2026. https://doi.org/10.2340/actadv.v106.adv-2026-0841

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