Necrobiosis lipoidica dibeticum (NLD) is a granulomatous skin disease mostly 
associated with diabetes mellitus. NLD has been reported in patients with other 
systemic disease. Also, the lesions of NLD may be clinically, and sometimes even 
histologically indistinguishable from other inflammatory skin lesions. We 
described three patients with established diagnosis of sarcoidosis that 
developed skin lesions consistent with NLD. The association of NLD-like skin 
lesion in sarcoidosis is not widely appreciated. The subject of NLD and 
sarcoidosis is reviewed.