PEDIATRICS Vol. 54 No. 3 September 1974, pp. 289-292
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The Clinical Picture of Sarcoidosis in Children

Edwin L. Kendig Jr. M.D.1

1 Department of Pediatrics, Medical College of Virginia, Health Sciences Division, Virginia Commonwealth University; Child Chest Clinic, Medical College of Virginia Hospitals; and St. Mary's Hospital, Richmond

Review of 33 patients 15 years of age and younger with a tissue-confirmed diagnosis of sarcoidosis is presented. The "typical" child with sarcoidosis is black (76%) and in the preadolescent or adolescent age group (100%). Chest roentgenogram shows bilateral hilar lymphadenopathy, with or without parenchymal infiltration or other involvement (97%). Eye lesions are relatively common (24%) and may be serious, with blindness occurring in two of the eight affected cases. Among the laboratory data, the most common abnormal finding is hyperglobulinemia (73%). The diagnosis of sarcoidosis should be strongly considered in any child with roentgenographic evidence of bilateral hilar lymphadenopathy.

Submitted on January 20, 1974
Accepted on March 4, 1974




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