Patients with common variable immunodeficiency (CVID) are occasionally reco
gnized to have a concurrent noncaseating granulomatous disease. The ganulom
atous disease (GD) associated with CVID shares many clinical properties typ
ical of sarcoidosis. Some investigators speculate that the GD-CVID is actua
lly sarcoidosis that is expressed atypically because of the patient's immun
odeficiency. Clinical differences, however, have led other investigators to
speculate that the GD-CVID is a distinct "sarcoid-like" granulomatous proc
ess.