Atrophic sarcoidosis: an unusual presentation of cutaneous sarcoidosis.

A 66-year-old woman presented with asymptomatic skin-colored to hypopigmented scaly plaques over the extremities, reportedly of 12 years' duration. The lesions started as well-defined erythematous scaly papules over the forearms, gradually followed by the appearance of similar lesions over both legs and dorsum of feet. During this period, the lesions increased in size, with peripheral extension and central clearing, leading to the present morphology. She is a known patient with coronary artery disease currently on treatment. There is history of exertional dyspnea, which has been related to her cardiologic ailment. She is not a known diabetic and has no other significant medical history.