INTRODUCTION

Pediatric sarcoidosis is an uncommon disorder; only 350 cases were reported before 1990. The disease is equally prevalent in both sexes, but African-American children are affected more commonly than are white children.¹ There is also an increased incidence of sarcoidosis in the Southeast.^2,3 The manifestations of the disease differ with the age of onset in a bimodal manner.^2,3 For children diagnosed at <5 years of age, the triad of eye (60% to 100%), joint (>75%), and skin (30%) disease, without involvement of the lungs, is typical.^3,4 These symptoms are commonly mistaken for juvenile rheumatoid arthritis.⁵ For those between 8 and 15 years of age, the disease is characterized by involvement of skin, lung, and eyes.⁶ Although these two triads are reported most frequently, pediatric sarcoidosis can affect many different organ systems including liver, spleen, parotid, brain, striated muscle, bone, and kidney.² Pattishall reported one patient with involvement of eight different organ systems.² We report an unusual case of sarcoidosis affecting the testes.

	CASE REPORT

A 5-year-old African-American boy was healthy until ~15 months before presentation, when he developed fever, arthritis of the large joints, and a left facial droop. A 1-week course of steroids resulted in resolution of all symptoms except a persistent, mild left facial paralysis. A diagnosis of juvenile rheumatoid arthritis was considered. Recurrent bouts of "pink eye" occurring over the next few months were diagnosed as iridocyclitis 3 months before our assessment.

One month later, he . . . [Full Text of this Article]