Sarcoidosis : A delayed or missed diagnosis in children

Sarcoidosis is an idiopathic granulomatous disease, most com-monly affecting young adults and presenting with bilateral hilar lymphadenopathy and pulmonary infiltrates.1 in children it is relatively rare and its clinical spectrum varies according to the age of onset.1-2 it is more common during adolescence and usually presents with clinical features similar to the adult type. in children under the age of 4 years it is rare and has a different presentation. Clinical features are characterized by a triad of rash, uveitis, and arthritis.3 Sarcoidosis has a worldwide distribution, but is more frequently reported from devel-oped countries.4,5 to our knowledge, there are no reports of childhood sarcoidosis from Saudi Arabia. We describe the clinical and laboratory features, treatment and outcome of 8 children with sarcoidosis seen at our hospital.