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This article is protected by copyright laws. All rights reserved.Sarcoidosis is a multisystem granulomatous disease with many clinical manifestations and a predilection to involve the lung area, eyes, lymph nodes, and skin. A 38-year-old man presented to dermatology with a brief history of modern dyspnea, pulmonary consolidations on chest X-ray, and hilar adenopathy on computed tomography scan. Skin exam disclosed asymptomatic, yellow to brown macules on the right lower extremity. Biopsy of a lesion revealed diminu