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April 1979

Sarcoidosis With Cutaneous Lesions Localized to the Dorsum of the Feet: A Case Report

Author Affiliations


From the Departments of Dermatology (Drs Hilder and Mitchell) and Medicine (Dr Benjamin), National Naval Medical Center, Bethesda, Md. Dr Hilder is now with the Naval Regional Medical Center, Jacksonville, Fla.

Arch Dermatol. 1979;115(4):494. doi:10.1001/archderm.1979.04010040072020

Distribution and symmetry are often helpful in deciphering cutaneous disease. Cutaneous sarcoidosis, which is often symmetrical, but seldom isolated to the feet, was found in a patient with pulmonary findings of this disease.

Report of a Case  A 32-year-old man was referred to the National Naval Medical Center in December 1976 for evaluation of an abnormal chest x-ray film. There was a one-year history of nonproductive cough and a sixweek history of dyspnea on exertion. His only previous medical problem involved a chronic cutaneous eruption limited to the dorsum of his feet since 1971. This had been diagnosed as a contact dermatitis to shoes, despite negative patch testing results, because of its location and symmetry. The problem had become resistant to various topical fluorinated steroids and to changing types of shoes.Positive physical findings were restricted to the feet and showed bilaterally symmetrical areas of papules and plaques on the

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