Background: Sarcoidosis is a common granulomatous systemic inflammator
y disease mainly affecting the interstitial lung tissue and perihilar
lymph nodes. Since its first description by Bernier 1889 its etiology
has remained obscure. Method: Sarcoidosis of the right middle ear in a
38-year-old woman was diagnosed by biopsy, Result: After mastoidectom
y and treatment with prednisolone the patient has been free of relapse
for two years. Conclusion: According to our knowledge this is the sec
ond reported case of sarcoidosis of the middle ear. In both cases the
interstitial lung tissue has been involved as well. This finding incre
ases the importance of excluding sarcoidosis in differential diagnosis
of chronic otitis media.