SARCOIDOSIS PRESENTING AS UNILATERAL ALVEOLAR CONSOLIDATION

Sarcoidosis is a multisystem granulomatous disorder that has variable clinical and radiologic manifestations. We describe a rare case of a 3 5-year-old black woman who had a nonresolving focal alveolar infiltrat e. Her symptoms did not improve with the administration of antibiotics , and a more extensive workup, including fiberoptic bronchoscopy with transbronchial biopsy and a conjunctival biopsy showed noncaseating gr anulomata. We conclude that sarcoidosis should be included in the diff erential diagnosis of nonresolving alveolar opacity in populations tha t have increased incidence.