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Arch Otolaryngol Head Neck Surg. 2009;135(6):619-620.

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Diagnosis: Sarcoidosis

Sarcoidosis is a granulomatous disorder that affects multiple organ systems and whose cause is still uncertain. It typically presents in the second to fourth decades of life, with women more frequently affected than men.¹ The diagnosis is made according to clinical features and pathologic findings. The clinical characteristics of sarcoidosis include bilateral hilar lymphadenopathy on chest radiography, erythema nodosum, uveitis, and maculopapular skin lesions. Multiple organs may be involved, with the most common organ being the lung in 95% of cases.² The parotid gland was found to be solely involved in 4% to 6% of cases.^2-3 It has also been reported that up to 30% of patients with systemic sarcoidosis may have parotid involvement¹; however, large variations were noted in a recent study of 26 patients, only 5% of whom had parotid involvement.⁴ Neurologic symptoms may be the sole presenting complaint in 5% of patients with sarcoidosis of any . . . [Full Text of this Article]

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Arch Otolaryngol Head Neck Surg. 2009;135(6):617.
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