Sarcoidosis is a complex systemic condition resulting in the formation of non-caseating granulomas. Infiltrative disease in cardiac sarcoidosis can have significant ramifications on mortality and is one of the few indications for systemic immunosuppressive therapy. In the a patient on immunosuppressive medication, the resultant sequelae such as opportunistic skin and soft tissue infections are common and must be differentiated from cutaneous forms of sarcoidosis. Patients with humoral or cellular immunodeficiencies may have cutaneous lesions secondary to endemic fungi, mycobacterium, viral diseases, parasitic es, or encapsulated organisms[1]. We report a rare case of cardiac sarcoidosis on immunosuppressive therapy, with a subsequent series of resultant cutaneous sequelae due to opportunistic infection.