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Previous Volume 356:1892-1893 May 3, 2007 Number 18 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In the Clinical Problem-Solving case presented by Calfee et al. (Feb. 1 issue),¹ the discussant identifies a common heuristic error inherent in clinical problem-solving. In this case, the clinician's reasoning became erroneously anchored to the nonspecific finding of granulomatous dermatitis provided by the pathologist on the basis of an initial skin biopsy. We agree that morphologic findings alone are not specific and should not be used as the single diagnostic tool for identification of idiopathic sarcoidosis. However, later in the discussion we are informed that the initial skin biopsy in fact showed a prominent lymphocytic infiltrate without . . . [Full Text of this Article]

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