Tangs' mucous coat is a bit thinner than some other fish, allowing the ich parasite an easier path to drill through and into the fish's flesh. In the wild, that's not a major problem, because the tangs aren't sleeping in the same bed every night, but in an aquarium it's pretty likely that wherever the tang decides to bed down for the evening, someone else slept there last night. (Think of it like bedbugs - if you are sleeping in the same hotel bed someone else slept in last night - and someone else the night before, you're probably more likely to come down with 'em than you might if you were hiking across the Mojave desert, sleeping in a different lonely spot each night . . . )
From what I'm given to understand, most tangs can come down with the occasional brush of ich from time to time and just deal with it, but a lot of the Acanthurus tangs (Achilles, powder-anything) will not thrive under those conditions.
~Bruce