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Sarcoidosis presenting as acute bulbar follicular conjunctivitis

Sarcoidosis is a relatively uncommon multi-systemic chronic granulomatous disease, which might affect any organ of the body, with the lungs, lymph nodes, skin and eyes most frequently involved. Ocular involvement occurs at some stage in 25 to 50 per cent of cases of sarcoidosis and may be seen at first presentation of the disease. The most frequent ocular manifestations are uveitis and conjunctival nodules. Asymptomatic granulomatous involvement of the lacrimal gland and conjunctiva is common as the disease progresses. We describe a case of a young male patient with follicular conjunctivitis, initially resembling chlamydial conjunctivitis. The condition evolved with hyperplasia of the parotid and lacrimal glands. Further examinations revealed lung involvement and serological results consistent with sarcoidosis. CASE REPORT