Sarcoidosis is a multisystem granulomatous disease, mainly involving the lungs, mediastinal and peripheral lymph nodes, liver, eyes, and skin. Cutaneous manifestations of sarcoid are variable and behave as "great imitators" of other cutaneous disorders. Cutaneous lesions are classified as specific and nonspecific forms. A large number of systemic sarcoidosis patients have specific cutaneous lesions, and this may be the presenting feature; isolated skin lesions may also present in some patients. Specific lesions of sarcoid are red-brown or red-violaceous in color, asymptomatic, and usually multiple in number. Different types of lesions may present in the same patient. This clinical appearance is due to the presence of epithelioid cell granulomas in the dermis.