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Arch Dermatol. 2001;137:485-486.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

SARCOIDOSIS REMAINS an enigmatic condition that is diagnosed by exclusion of other causes of granulomatous inflammation.^1-2 Is the presence of foreign body material in the granulomas compatible with a diagnosis of sarcoidosis? Is foreign material a nidus for expression of granulomatous inflammation in a predisposed patient? These are questions addressed by Marcoval et al³ in this issue of the ARCHIVES. Their findings suggest that all patients who manifest cutaneous granulomatous inflammation of the sarcoidal type should be evaluated for the presence of systemic sarcoidosis regardless of whether they have a history of injury or have polarizable material in their skin biopsy findings.

Recently, Johns and Michele⁴ reviewed a 50-year experience in caring for patients with sarcoidosis. They reiterate that there is not a specific test for the diagnosis of sarcoidosis and propose 3 "essential" criteria: (1) a compatible clinical picture, (2) exclusion of other granulomatous diseases, and (3) histologic evidence . . . [Full Text of this Article]

HOW SHOULD THE PATIENT WITH CUTANEOUS GRANULOMATOUS INFLAMMATION BE EVALUATED?


HOW SHOULD THE PATIENT WITH CUTANEOUS SARCOIDOSIS BE TREATED?


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Foreign Bodies in Granulomatous Cutaneous Lesions of Patients With Systemic Sarcoidosis
Joaquim Marcoval, Juan Mañá, Abelardo Moreno, Isabel Gallego, Yolanda Fortuño, and Jordi Peyrí
Arch Dermatol. 2001;137(4):427-430.
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