Sarcoid-like reactions (SLRs) or autonomous sarcoidosis (AS)? Differentiation probably important?

Granulomatous slack skin mycosis fungoides developing simultaneously with sarcoid‐like lesions in a patient with repeated anabolic injections in the past?

“…In some cases, it is not possible to determine with full precision whether a lesion represents autonomous sarcoidosis or a sarcoid type of reaction (sarcoid-type granuloma), since a sarcoidal granuloma, even when it is sterile, cannot be considered the equivalent of sarcoidosis (Tchernev et al, 2018;Tchernev, Chokoeva, Wollina, & Lotti, 2015). It is believed that a large group of skin diseases can enter into the differential diagnosis of cutaneous sarcoid, including lymphomas and pseudolymphomas (Tchernev, Patterson, Nenoff, & Horn, 2010).…”