An Atypical Case of Parotid Gland Swelling and Arthritis in a Child.

Background: Early onset sarcoidosis is a rarely reported disease in children. Case characteristics: 2½-year-old girl with chronic enlargement of bilateral parotid glands and polyarthritis. Observation: Biopsy of salivary gland revealed non-caseating granuloma. Outcome: Polyarthritis and salivary gland swelling resolved completely after starting oral corticosteroids. Message: Sarcoidosis is an important differential diagnosis in young children with joint and salivary gland involvement.