Familial sarcoidosis is uncommon, representing less than 5% of rile ca
ses. We reported three cases of sarcoidosis in the same family (two si
sters and a brother) with different clinical presentation in spire of
the the presence in each patient of HLA B8 DR3. These HLA phenotype ma
y be related with favourable sarcoidosis. Untill the two sisters had a
rticula, and benign lymph nodes diseases, the brother had multiviscera
l sarcoidosis involving the liver, the lung and the mediastinum. Corti
costeroid were used during 6 month with favorable evolution. There is
16 years between tile three sarcoidosis history but the disease appear
ed till the third decade. The two sisters and the brother did not live
in the same city. These suggest than genetic predisposition is more e
ffective than environmental basis.