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Amy S. Paller, MD; Henry H. Roenigk, Jr, MD; William A. Caro, MD
Department of Dermatology Rush-Presbyterian-St Luke's Medical Center 1753 W Congress Pkwy Chicago, IL 60612; Department of Dermatology Northwestern University School of Medicine Chicago

Arch Dermatol. 1985;121(2):171-172.

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

To the Editor.—

Cutaneous manifestations are common in sarcoidosis. Ichthyosislike changes are reported occasionally, but are limited to the extremities. A generalized ichthyosiform eruption, which proved to be sarcoidosis, developed in a patient with juvenile rheumatoid arthritis (JRA) who had taken systemic corticosteroids since infancy.

Report of a Case.—

A 23-year-old woman was seen at Northwestern University Medical Center, Chicago, because of progressive hair loss and scalp scaliness of eight years' duration that was unresponsive to topical steroids, emollients, and oral vitamin A. During the previous year, the hair loss markedly worsened and generalized scaling and pruritus developed. The patient had had seronegative polyarticular JRA since she was 1 year old, which was now controlled on a regimen of 5 mg/day of prednisone and aspirin.

On examination, generalized, fine white scales overlay 1- to 3-mm yellow-brown macules that persisted with diascopy (Fig 1). In addition, extensive, patchy, nonscarring alopecia with . . . [Full Text PDF of this Article]

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