Parotid gland sarcoidosis

Parotid gland sarcoidosis occurs in 6% of patients with sarcoidosis. It was bilateral in 24 (73%), slightly commoner in women, and presented in the ma jority in the 20 to 40 year age group. There was widespread involvement of other systems, particularly intrathoracic, peripheral lymphadenopathy, uvei tis, lacrimal gland enlargement and skin disease. Patterns of involvement m ay be pathognomonic as in Heerfordt's syndrome. This account provides the d ifferential diagnosis, imaging and biopsy techniques, and treatment.