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To the Editor.—
The article by Kauh et al, "Icthyosiform Sarcoidosis" (Archives 114:100-101, 1978), discusses a specific cutaneous lesion of sarcoid that they find has been reported in the dermatologic literature on two other occasions.1,2 Based on the above publication, one could assume that icthyosiform lesions in association with sarcoid are very rare. My experience at Martin Luther King, Jr, General Hospital (MLK), however, would suggest that even though icthyosiform sarcoid has "very rarely been reported in dermatologic literature," its clinical expression is more frequent than the literature implies. Also, since the icthyosiform lesions of sarcoid are often asymptomatic—especially in blacks, in whom both patient and physician usually consider them to be a manifestation of dry ("ashy") skin—evaluation for sarcoidosis is seldom performed. In order to stress the importance of suspecting sarcoid in patients with scaly leg lesions, I have two cases of icthyosiform sarcoidosis to add to the
Kelly AP. Icthyosiform Sarcoid. Arch Dermatol. 1978;114(10):1551-1552. doi:10.1001/archderm.1978.01640220092031