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Arch Dermatol. 2004;140:1003-1008.

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

Diagnosis: Sarcoidosis.

MICROSCOPIC FINDINGS AND CLINICAL COURSE

Microscopic examination of a specimen from the scalp showed the presence of dermal noncaseating epithelioid granulomas. The epidermis was hyperkeratotic, with areas of orthokeratosis and parakeratosis.

A complete blood cell count and serum protein, calcium, and phosphate levels were normal. The chest radiograph showed enlarged hila with diffuse fine opacities throughout both lungs. Pulmonary function tests revealed the following abnormalities: forced expiratory volume in 1 second, 1.19 L (reference value, 1.73 L); forced expiratory volume in 1 second–forced vital capacity ratio, 69.5% (reference value, 76.9%); and forced vital capacity, 1.71 L (reference value, 2.09 L). Transbranchial lung biopsy specimens showed noncaseating epithelioid granulomas.

A skin biopsy culture was negative for Mycobacterium tuberculosis. Direct examination and culture from a scraping of affected skin showed no evidence of tinea capitis. Cultures of sputum and bronchoalveolar lavage specimens using Lowenstein medium were also negative for organisms.

The patient was treated with 0.5% clobetasol . . . [Full Text of this Article]

DISCUSSION

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Arch Dermatol. 2004;140(8):1003-1008.
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