Sarcoidosis in a child, presenting as an erythroderma with keratotic spines and palmar pits

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Abstract
A case of sarcoidosis with generalized erythroderma, exfoliation and micropapule formation in a 6-yr-old boy is presented. Follicular spiny keratoses, resembling those seen in pityriasis rubra pilaris, and palmo-plantar pitting were among the other extraordinary features in this case. The epidermis overlying the widespread sarcoid granulomata showed parakeratosis, lymphocytic infiltration and degeneration of the basal layer.

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