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Topic:Skin

The skin of horses is a complex organ that serves multiple functions, including protection, thermoregulation, and sensory perception. It consists of several layers, primarily the epidermis and dermis, each contributing to the overall health and functionality of the skin. The epidermis provides a barrier against environmental factors, while the dermis supports the skin structure and houses blood vessels, nerves, and hair follicles. Equine skin is also involved in the production of sweat and sebum, which aid in temperature regulation and skin lubrication, respectively. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, and health conditions of equine skin, as well as advancements in dermatological treatments and care practices.
Scanning electron microscopy of the nasal skin in different animal species as a method for forensic identification.
Microscopy research and technique    December 13, 2021   Volume 85, Issue 5 1643-1653 doi: 10.1002/jemt.24024
Madkour FA, Abdelsabour-Khalaf M.The current study aims to provide a new method for the identification of animal species by using the scanning electron microscopic study on the nasal skin around the nostril. The reference databases for animal identification using traditional ways (i.e., hair and bone analyses) were somewhat available. This study was conducted on the nasal skin of seven different animal species: large ruminants (Saidi buffalo and frozen Angus cattle); small ruminants (Egyptian goat and Rahmani sheep); camels (one-hump dromedary camel); equines (African domestic donkey and Arabian horse); carnivores (farm domes...
The relationship between equine pastern dermatitis, meteorological factors, and the skin microbiota.
Veterinary dermatology    December 9, 2021   Volume 33, Issue 2 165-e48 doi: 10.1111/vde.13045
Kaiser-Thom S, Hilty M, Ramseyer A, Epper P, Gerber V.Equine pastern dermatitis (EPD) is a multifactorial syndrome, with prolonged exposure to moisture assumed to be a predisposing or primary factor. Objective: To examine the course of EPD lesion severity, changes in bacterial skin microbiota, and the influence of meteorological factors. Methods: Prospective, longitudinal cohort study over a one-year period, with six Franches-Montagnes stallions, four affected by EPD and two unaffected, that were kept under the same conditions. Methods: Pasterns were scored for lesion severity and sampled once a month for 12 consecutive months. Lesion severity, t...
Ion Channel and Ubiquitin Differential Expression during Erythromycin-Induced Anhidrosis in Foals.
Animals : an open access journal from MDPI    November 25, 2021   Volume 11, Issue 12 3379 doi: 10.3390/ani11123379
Patterson Rosa L, Mallicote MF, MacKay RJ, Brooks SA.Macrolide drugs are the treatment of choice for infections, despite severe side-effects temporary anhidrosis as a. To better understand the molecular biology leading to macrolide induced anhidrosis, we performed skin biopsies and Quantitative Intradermal Terbutaline Sweat Tests (QITSTs) in six healthy pony-cross foals for three different timepoints during erythromycin administration-pre-treatment (baseline), during anhidrosis and post-recovery. RNA sequencing of biopsies followed by differential gene expression analysis compared both pre and post normal sweating timepoints to the erythromycin...
Effects of Topically Applied Betulinic Acid and NVX-207 on Melanocytic Tumors in 18 Horses.
Animals : an open access journal from MDPI    November 13, 2021   Volume 11, Issue 11 3250 doi: 10.3390/ani11113250
Weber LA, Delarocque J, Feige K, Kietzmann M, Kalbitz J, Meißner J, Paschke R, Cavalleri JV.The naturally occurring betulinic acid (BA) and its derivative NVX-207 induce apoptosis in equine melanoma cells in vitro. After topical application, high concentrations of the substances can be reached in healthy equine skin. With the aim to investigate the effect and safety of topically applied BA and NVX-207 in horses with melanocytic tumors, the longitudinal, prospective, randomized, double-blind, placebo-controlled study protocol included eighteen Lipizzaner mares with early-stage cutaneous melanoma assigned to three groups. Melanocytic lesions were topically treated either with a placebo...
Re-discovery of Trichophyton bullosum in North Africa as a cause of severe dermatophytosis in donkeys.
Folia microbiologica    November 10, 2021   Volume 67, Issue 2 265-275 doi: 10.1007/s12223-021-00930-9
Peano A, Arnoldi S, Čmoková A, Hubka V.This article reports the first verified cases of infection by Trichophyton bullosum in Africa since the description of the fungus, isolated in 1933 from the coat of horses in Tunisia and Mali. We found the fungus in cutaneous samples obtained from donkeys suffering from severe dermatitis with areas of alopecia and scaling in the surroundings of Cairo (Egypt). Fungal elements (arthroconidia and hyphae) were seen at the microscopy of material collected by skin scraping and digested in NaOH. Fungal colonies grown on various culture media were identified through PCR and sequencing of the ITS rDNA ...
Impact of Dietary Zinc Chloride Hydroxide and Zinc Methionine on the Faecal Microbiota of Healthy Adult Horses and Ponies.
Journal of equine veterinary science    November 6, 2021   Volume 110 103804 doi: 10.1016/j.jevs.2021.103804
Paßlack N, van Bömmel-Wegmann S, Vahjen W, Zentek J.Zinc supplements are often used in equine nutrition to support skin and hoof quality or the immune function. However, no data on the effects of dietary zinc on the intestinal microbiota of horses and ponies are available so far. In the present study, varying dietary zinc concentrations (maintenance (4 mg/kg BW/day), 120 mg/kg dry matter (DM)/day and 240 mg/kg DM/day) were achieved by the supplementation of either zinc chloride hydroxide or zinc methionine (six treatment periods of 4 weeks each). Eight healthy adult ponies and two healthy adult horses were included, and faecal samples were coll...
Inflammatory bowel disease characterized by multisystemic eosinophilic epitheliotropic disease (MEED) in a horse in Saskatchewan, Canada.
The Canadian veterinary journal = La revue veterinaire canadienne    November 4, 2021   Volume 62, Issue 11 1190-1194 
Villagrán CC, Vogt D, Gupta A, Fernández EA.A 3-year-old Quarter Horse gelding was evaluated for chronic weight loss, diarrhea, and pruritus. Physical examination revealed several ulcerative lesions on the skin and mucosal membranes. Diagnostic imaging findings were consistent with enteritis, typhlitis, and colitis. Multisystemic eosinophilic epitheliotropic disease (MEED) was diagnosed upon necropsy. This disease may be considered a form of equine inflammatory bowel disease complex which can be challenging to diagnose, requiring histological assessment, and in some cases, the use of immunohistochemical markers. Key clinical message: Mu...
Equine vitiligo-like depigmentation in grey horses is related to genes involved in immune response and tumor metastasis.
BMC veterinary research    October 25, 2021   Volume 17, Issue 1 336 doi: 10.1186/s12917-021-03046-x
Druml T, Brem G, Velie B, Lindgren G, Horna M, Ricard A, Grilz-Seger G.In horses, the autoimmune disease vitiligo is characterized by the loss of melanocytes and results in patchy depigmentation of the skin around the eyes, muzzle and the perianal region. Vitiligo-like depigmentation occurs predominantly in horses displaying the grey coat colour and is observed at a prevalence level of 26.0-67.0% in grey horses compared with only 0.8-3.5% in non-grey horses. While the polygenetic background of this complex disease is well documented in humans, the underlying candidate genes for this skin disorder in horses remain unknown. In this study we aim to perform a genome-...
Investigation of the Epithelial to Mesenchymal Transition (EMT) Process in Equine Papillomavirus-2 (EcPV-2)-Positive Penile Squamous Cell Carcinomas.
International journal of molecular sciences    September 30, 2021   Volume 22, Issue 19 10588 doi: 10.3390/ijms221910588
Armando F, Mecocci S, Orlandi V, Porcellato I, Cappelli K, Mechelli L, Brachelente C, Pepe M, Gialletti R, Ghelardi A, Passeri B, Razzuoli E.Equine penile squamous cell carcinoma (epSCC) is the most frequent tumor of the external male genitalia, representing 67.5% of equine genital cancers. epSCC is associated with papilloma virus (PV) infection and has been recently proposed as a model for human PV-induced squamous cell carcinomas. It has already been suggested that epSCC might undergo epithelial-to-mesenchymal transition (EMT). This work aims to investigate in detail this process and the possible role of PV oncoproteins in epSCC. For this purpose, 18 penile SCCs were retrospectively selected and tested for both EcPV2 presence and...
Hereditary Equine Regional Dermal Asthenia homozygote adult working horse with mild signs – A Case Report.
Journal of equine veterinary science    September 6, 2021   Volume 106 103756 doi: 10.1016/j.jevs.2021.103756
Patterson Rosa L, Troop TW, Martin K, Vierra M, Foster G, Lundquist E, Brooks SA, Lafayette C.Hereditary Equine Regional Dermal Asthenia (HERDA) is an autosomal recessive condition present in the American Quarter Horse and other related breeds. Resulting from a mutation in the peptidyl-prolyl cis-trans isomerase B (PPIB) gene, HERDA is homologous to Ehlers-Danlos syndrome in humans. Characterized by fragile, hyperelastic, skin, HERDA affected horses often present first with slow-healing wounds usually on the dorsum, and resulting in atrophic scars, seromas, and ulcers. As there is no treatment for the condition affected horses are typically reported to be unrideable, and if persisten...
Staphylococcal cutaneous infection in horses: From the early 2000s to the present.
The Canadian veterinary journal = La revue veterinaire canadienne    September 4, 2021   Volume 62, Issue 9 1001-1006 doi: 10.1136/vr.103576.473
Sauvé F.No abstract available
Safety of a feed additive consisting of a tincture derived from Verbascum thapsus L. (great mullein tincture) for use in all animal species (MANGHEBATI SAS).
EFSA journal. European Food Safety Authority    July 28, 2021   Volume 19, Issue 7 e06711 doi: 10.2903/j.efsa.2021.6711
Bampidis V, Azimonti G, Bastos ML, Christensen H, Fašmon Durjava M, Kouba M, López-Alonso M, López Puente S, Marcon F, Mayo B, Pechová A....The tincture derived from L. (great mullein tincture) is intended to be used as a sensory additive in feed for all animal species. The product is a water/ethanol solution, with a dry matter content of ˜ 2.8% and contains on average 0.216% polyphenols including 0.093% flavonoids. According to a previous assessment, the additive was not characterised in full and about 82% of the dry matter fraction remained uncharacterised (representing 2.26% of the tincture). There was also uncertainty on the potential presence of iridoid glycosides in the tincture. Therefore, the Panel on Additives and Prod...
Atopic Dermatitis in Domestic Animals: What Our Current Understanding Is and How This Applies to Clinical Practice.
Veterinary sciences    July 2, 2021   Volume 8, Issue 7 124 doi: 10.3390/vetsci8070124
Marsella R.Atopic dermatitis is a clinical syndrome that affects both people and animals. Dogs closely mimic the complexity of the human skin disease, and much progress has been made in recent years in terms of our understanding of the role of skin impairment and the identification of new treatments. Cats and horses also develop atopic syndromes which include both cutaneous and respiratory signs, yet studies in these species are lagging. It is now recognized that atopic dermatitis is not a single disease but a multifaceted clinical syndrome with different pathways in various subgroups of patients. Apprec...
Comparison of the Effect of High-Intensity Laser Therapy (HILT) on Skin Surface Temperature and Vein Diameter in Pigmented and Non-Pigmented Skin in Healthy Racehorses.
Animals : an open access journal from MDPI    June 30, 2021   Volume 11, Issue 7 doi: 10.3390/ani11071965
Zielińska P, Soroko M, Howell K, Godlewska M, Hildebrand W, Dudek K.The aim of the study was to assess differences in the influence of high-intensity laser therapy (HILT) on the skin surface temperature and vein diameter of the lateral fetlock joint region in a group of racehorses with pigmented and non-pigmented skin in the treatment area. Twenty Thoroughbreds were divided into two equal groups: pigmented and non-pigmented skin groups. Each horse received the same HILT treatment. Just before and immediately after HILT, thermographic examination was performed to measure the skin surface temperature and ultrasonographic examination assessed the lateral digital ...
Longitudinal study of the cutaneous microbiota of healthy horses.
Veterinary dermatology    June 24, 2021   Volume 32, Issue 5 467-e128 doi: 10.1111/vde.12983
O'Shaughnessy-Hunter LC, Yu A, Rousseau JD, Foster RA, Weese JS.Next-generation sequencing techniques have revealed that human and animal skin is colonised by a rich and diverse population of bacteria, and that microbial composition varies between different body sites and individuals. Very little is known about the normal microbiota of healthy equine skin. Objective: To describe the taxonomic distributions of cutaneous bacterial microbiota in a population of healthy horses in Ontario, Canada, and to evaluate the effects of body site, individual and time of year on microbial diversity and community composition. Methods: Samples were collected from four body...
The examination of biophysical parameters of the skin in Polish Konik horses.
PloS one    June 21, 2021   Volume 16, Issue 6 e0250329 doi: 10.1371/journal.pone.0250329
Cekiera A, Popiel J, Siemieniuch M, Jaworski Z, Slowikowska M, Siwinska N, Zak A, Niedzwiedz A.This study aimed to assess the biophysical parameters of the skin in Polish Konik horses (Polish primitive horses). According to the authors, this is the first assessment performed on such a wide scale in this group of animals. The evaluation carried out is innovative both with regards to the breed of the animals and the wide scope of the physicochemical skin assessment. The study group comprised mares, stallions and geldings, and the evaluations concerned transepidermal water loss, corneometry, pH, skin temperature assessment and mexametry. These parameters were assessed in five skin regions:...
Evaluation of long-term welfare initiatives on working equid welfare and social transmission of knowledge in Mexico.
PloS one    May 4, 2021   Volume 16, Issue 5 e0251002 doi: 10.1371/journal.pone.0251002
Haddy E, Burden F, Fernando-Martínez JA, Legaria-Ramírez D, Raw Z, Brown J, Kaminski J, Proops L.Working equids play an essential role in supporting livelihoods, providing resilience and income security to people around the world, yet their welfare is often poor. Consequently, animal welfare focussed NGOs employ a range of initiatives aimed at improving standards of working equid welfare. However, there is debate surrounding the efficacy of welfare initiatives utilised and long term monitoring and evaluation of initiatives is rarely undertaken. This study compares equid welfare and the social transmission of welfare information across Mexican communities that had previously received diffe...
Safety and efficacy of an additive consisting of synthetic vitamin K1 (phytomenadione) for horses (JARAZ Enterprises GmbH & Co. KG).
EFSA journal. European Food Safety Authority    April 30, 2021   Volume 19, Issue 4 e06538 doi: 10.2903/j.efsa.2021.6538
Bampidis V, Azimonti G, Bastos ML, Christensen H, Dusemund B, Fašmon Durjava M, Kouba M, López-Alonso M, López Puente S, Marcon F, Mayo B....Following a request from the European Commission, the Panel on Additives and Products or Substances used in Animal Feed (FEEDAP) was asked to deliver a scientific opinion on the safety and efficacy of a feed additive consisting of vitamin K1 (phytomenadione) produced by chemical synthesis when used as a nutritional additive in complementary feed of horses at a maximum supplemental level of 14 mg vitamin K1/horse per day. The use of vitamin K1 is safe when used as a feed additive for horses under the proposed conditions of use. The use of vitamin K1 in nutrition of horses under the proposed co...
First isolation of Trichophyton bullosum from a horse with dermatophytosis in Japan.
Medical mycology case reports    April 29, 2021   Volume 32 81-83 doi: 10.1016/j.mmcr.2021.04.004
Watanabe R, Furuta H, Ueno Y, Nukada T, Niwa H, Shinyashiki N, Kano R.Trichophyton bullosum is a zoophilic dermatophyte that has been rarely isolated from horses and humans in Africa and Europe. This is the first reported isolation of T. bullosum from a horse with dermatophytosis in Japan. The isolate from a skin lesion formed a cream-colored and waxy colony that was slightly elevated in the center. Sequencing of the internal transcribe spacer region of the isolate revealed that it was 100% identical to that of T. bullosum.
[Therapy of bullous pemphigoid in a Warmblood gelding].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    April 26, 2021   Volume 49, Issue 2 139-144 doi: 10.1055/a-1395-6307
Ehrmann C, Hartung S, Hirz M, Fey K.A 15-year-old Warmblood gelding was presented with multiple large, ulcerative, and crusty dermal lesions that had been existing for 4 years. Histopathology of a skin biopsy revealed cleft formation at the dermal-epidermal junction beneath the basal cells and above the basement membrane leading to the diagnosis of bullous pemphigoid. Immunosuppressive therapy with dexamethasone and azathioprine was initiated and after 14 weeks full remission of the ulcers was achieved. Scar tissue formation was evident in the areas of the formerly affected lesions. Following medication tapering over a perio...
The skin microbiota in equine pastern dermatitis: a case-control study of horses in Switzerland.
Veterinary dermatology    April 8, 2021   Volume 32, Issue 6 646-e172 doi: 10.1111/vde.12955
Kaiser-Thom S, Hilty M, Axiak S, Gerber V.Equine pastern dermatitis (EPD), a multifactorial syndrome, manifests as skin lesions of variable severity in the pastern area. Despite the widespread use of antibacterial therapy for treating this condition, little is known about the contributing bacteria. Objective: To investigate the bacterial skin microbiota in EPD-affected and unaffected (control) pasterns. Methods: Case-control study with 80 client-owned horses; each with at least one EPD-affected and one control pastern. Methods: Horses were grouped by the form of EPD (mild, exudative or proliferative), the assigned severity grade and t...
Administration of pilocarpine by microneedle patch as a novel method for cystic fibrosis sweat testing.
Bioengineering & translational medicine    April 3, 2021   Volume 6, Issue 3 e10222 doi: 10.1002/btm2.10222
Li S, Hart K, Norton N, Ryan CA, Guglani L, Prausnitz MR.The sweat test is the gold standard for the diagnosis of cystic fibrosis (CF). The test utilizes iontophoresis to administer pilocarpine to the skin to induce sweating for measurement of chloride concentration in sweat. However, the sweat test procedure needs to be conducted in an accredited lab with dedicated instrumentation, and it can lead to inadequate sweat samples being collected in newborn babies and young children due to variable sweat production with pilocarpine iontophoresis. We tested the feasibility of using microneedle (MN) patches as an alternative to iontophoresis to administer ...
Besnoitiosis in donkeys: an emerging parasitic disease of equids in Italy.
Parasitology research    March 16, 2021   Volume 120, Issue 5 1811-1819 doi: 10.1007/s00436-021-07089-9
Villa L, Gazzonis AL, Diezma-Diaz C, Perlotti C, Zanzani SA, Ferrucci F, Álvarez-García G, Manfredi MT.Besnoitiosis is an emerging parasitic disease of equids. Italy is one of the few European countries where the circulation of Besnoitia spp. antibodies was demonstrated. In this study, a case of clinical besnoitiosis in two donkeys in northern Italy is reported. The two animals were clinically examined. Serum and blood samples were analyzed for the detection of Besnoitia spp. antibodies and for hematology, biochemistry, and enzyme activity, respectively. ITS-1 PCR and sequencing were carried out on DNA extracted from skin biopsies. Clinical examination revealed numerous scleral pearls in eyes o...
Generation of a Biobank From Two Adult Thoroughbred Stallions for the Functional Annotation of Animal Genomes Initiative.
Frontiers in genetics    March 8, 2021   Volume 12 650305 doi: 10.3389/fgene.2021.650305
Donnelly CG, Bellone RR, Hales EN, Nguyen A, Katzman SA, Dujovne GA, Knickelbein KE, Avila F, Kalbfleisch TS, Giulotto E, Kingsley NB, Tanaka J....Following the successful creation of a biobank from two adult Thoroughbred mares, this study aimed to recapitulate sample collection in two adult Thoroughbred stallions as part of the Functional Annotation of the Animal Genome (FAANG) initiative. Both stallions underwent thorough physical, lameness, neurologic, and ophthalmic (including electroretinography) examinations prior to humane euthanasia. Epididymal sperm was recovered from both stallions immediately postmortem and cryopreserved. Aseptically collected full thickness skin biopsies were used to isolate, culture and cryopreserve dermal f...
A Novel Organic Composite Accelerates Wound Healing: Experimental and Clinical Study in Equine.
Journal of equine veterinary science    February 9, 2021   Volume 99 103406 doi: 10.1016/j.jevs.2021.103406
Anis A, Sharshar A, Hanbally SE, Sadek Y.Natural products such as honey, rosemary and chamomile oils have many health benefits particularly skin regeneration. These products were previously examined individually as enhancer of skin wound healing. The purpose of this study was to evaluate the clinical and histopathological features associated with using a mixture of rosemary and chamomile oils with honey, as a composite, in healing of equine-skin wounds experimentally and clinically. For experimental and clinical evaluation 15 donkeys and 122 clinical cases were used, respectively. For the experimental part, animals were divided into ...
Pilot Videodermoscopic Examination of Hair and Skin in Arabian Mare Horses During the Winter Season.
Journal of equine veterinary science    February 3, 2021   Volume 99 103400 doi: 10.1016/j.jevs.2021.103400
Pomorska-Zniszczyńska A, Szczepanik M, Kalisz G.Videodermoscopy is a novel, noninvasive technique used to examine the appearance of skin and its adnexa. The aim of this study was to assess specific dermoscopic parameters in Arabian purebred mares in particular areas of the body during the winter season. The study was performed in the winter season. Videodermoscopic evaluations of the hair and skin were performed over seven areas of the body: the forehead, mane, neck, chest, flank, croup, and tail. Twenty-one healthy, non-breeding Arabian mares aged 3 to 21 years were selected for the study. The Video-Dermatoscope Vidix 7 (Medici Medical SRL...
Biomechanical Effects of Unidirectional Expansion Using Anisotropic Expanders in Horse Skin Tissue.
Journal of equine veterinary science    February 3, 2021   Volume 99 103399 doi: 10.1016/j.jevs.2021.103399
Al-Majhali SH, Khairuddin NH, Abdul Razak IS, Radzi Z, Rahman MT, Sapalo JT, Mayaki AM, Czernuszka JT.The use of a self-inflating tissue expander is a technique to stretch cutaneous tissues for potential use in reconstructive skin surgeries. This study investigates the mechanical properties of horse skin stretched by the subcutaneous implantation of anisotropic tissue expanders at the forehead, right shoulder, and dorsomedial part of the cannon region of the right forelimb in six (n = 6) horses. After 14 days of skin expansion, expanded and normal (control) skin samples were harvested and their mechanical properties of elastic modulus (EM), maximum force (MF), maximum stress (MSs) and maximu...
Hepatogenous photosensitization in ruminants and horses caused by the ingestion of Chamaecrista serpens in Brazil.
Toxicon : official journal of the International Society on Toxinology    January 28, 2021   Volume 193 13-20 doi: 10.1016/j.toxicon.2021.01.013
Mendonça MFF, Pimentel LA, Leal PV, Oliveira Filho JC, Caymmi LG, Silva AWO, Jesus RS, Peixoto TC.This study aimed to describe the first reports of outbreaks of hepatogenous photosensitization in cattle, sheep, and horses caused by spontaneous ingestion of Chamaecrista serpens, as well as to reproduce poisoning in sheep experimentally. Eleven photodermatitis outbreaks of unknown cause occurred in cattle, sheep and horses on nine farms in the semiarid region of Bahia, northeastern Brazil, between July 2017 and July 2020. Cutaneous lesions of photosensitization initiated until one week after the animals were introduced in paddocks invaded by the plant at the beginning of the rainy season. Th...
Comparison of chlorhexidine and alcohol-based antisepsis of the distal limbs of horses.
Equine veterinary journal    January 19, 2021   Volume 53, Issue 6 1234-1238 doi: 10.1111/evj.13417
Doyle AJ, Saab ME, Lewis KM, McClure JT.An alcohol-based rub has been confirmed effective at reducing bacterial counts on equine skin. Skin sites with expected high bacterial burden have not been tested or has a comparison to a common protocol been performed. Objective: To determine if ethanol-based antisepsis reduces bacterial counts on the equine distal limb comparable to a current chlorhexidine scrub method and determine the most effective application technique for the product. Methods: Randomised trial. Methods: Forty-one horses were used in the study. By horse, each limb was randomly assigned to a treatment group: 5min scrub us...
Equine Sarcoids-Causes, Molecular Changes, and Clinicopathologic Features: A Review.
Veterinary pathology    January 19, 2021   Volume 58, Issue 3 472-482 doi: 10.1177/0300985820985114
Ogłuszka M, Starzyński RR, Pierzchała M, Otrocka-Domagała I, Raś A.Equine sarcoid is the most common skin tumor of horses. Clinically, it occurs as a locally invasive, fibroblastic, wart-like lesion of equine skin, which has 6 clinical classes: occult, verrucose, nodular, fibroblastic, mixed, and malignant. Sarcoids may be single but multiple lesions are more frequent. The typical histological feature is increased density of dermal fibroblasts which form interlacing bundles and whorls within the dermis. Lesions are mostly persistent, resist therapy, and tend to recur following treatment. In general, sarcoids are not fatal but their location, size, and progres...