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To the Editor.—
With reference to the article titled "Ichthyosiform Sarcoidosis" by Kauh et al that appeared in the January Archives (114:100-103, 1978), we ask that the authors make the following clarifications.We believe that these clarifications will help rule out the strong possibility of leprosy as the cause of ichthyosis (on the lower extremities) and multiple skin lesions (on the arms, back, and thighs) described in this article.
What was the country of origin of the black woman (Africa?)
In the clinical description of the patient, reference to peripheral nerve enlargement and tenderness and the presence of any sensory impairment over ichthyotic plaques or multiple coin-shaped skin lesions has been omitted.
There is no description of histological examination of the multiple erythematous, indurated, and coinshaped skin lesions on the arms, lower portion of the back, buttocks, and thighs.
The microscopic examination report of the skin
Maniar JK, Ganapati R. Ichthyosiform Sarcoidosis. Arch Dermatol. 1979;115(3):369. doi:10.1001/archderm.1979.04010030067031