Sarcoidosis in young children
S. Hetherington
Twenty-eight cases of sarcoidosis in children 4 years of age or younger
have been reported in the literature, including the case presented herein.
These patients may display a distinct aspect of this disease. Half of them
are younger than 1 year and all but two are whit. Clinically, they are
different from the older children: they lack pulmonary disease, and they
predominantly have uveitis, arthritis, and skin rash. The natural history
of the disease not only involves chronic arthritis, but has the potential
for renal disease secondary to hypercalciuria. Use of adrenocorticosteroids
may be effective in these situations, as well as for eye involvement.
