Granulomatous Slack Skin with Hypercalcemia Indolently Mimicking Sarcoidosis


  • Sarah Colando Edward Via College of Osteopathic Medicine, Spartanburg, SC, USA
  • Jennifer Seyffert Department of Dermatology, Larkin Community Hospital- Skin and Cancer Associates, Miami Beach, FL, USA
  • Daniel Rivlin Department of Dermatology, Larkin Community Hospital- Skin and Cancer Associates, Miami Beach, FL, USA



Granulomatous slack skin, Cutaneous T-cell lymphoma, Mycosis fungoides, Hypercalcemia


Granulomatous slack skin is a rare variant of cutaneous T-cell lymphoma characterized by lax skin and granulomatous infiltrate with loss of elastic fibers on histology. We report a unique case of a female presenting with CD30-granulomatous slack skin complicated by hypercalcemia, initially diagnosed, and managed as sarcoidosis. Interestingly, she had a history of previously treated CD30+ cutaneous T-cell lymphoma. Granulomatous slack skin can frequently mimic other benign and malignant cutaneous diseases, prompting the need for clinical vigilance from dermatologists.


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