We were interested to read the Notable Note by Higgins et al,1 and we agree that dermatology is indeed “the sweetest specialty.” However, practicing moderation with sweets would be wise. Fortunately, classical dermatologic descriptions span the spectrum of tastes and foods.
For the sour to your sweet, look no further than the lemon color commonly seen at the back of a Microsporum canis colony. Your taste buds might also be interested in the salt and pepper appearance of macular amyloid, the cayenne pepper appearance of Schamberg purpura, or the nutmeg grater feel of pityriasis rubra pilaris.2,3