ABSTRACT
Sarcoidosis is an uncommon cause of childhood uveitis. However, the ophthalmologist familiar with the clinical features of childhood sarcoidosis can play a key role in the diagnosis and treatment of this disorder. The manifestations in younger children [under 5 years of age] include a triad of uveitis, arthritis, and skin rash. The group ranging in age from 8 to 15 years tend to have lung involvement; other organs that may be involved [in 30-40% of the cases] include the eyes, the liver, and the skin. The diagnosis is established when clinico-radiographic findings are supported by histological evidence of widespread non-caseating epithelial cell granulomata, with a positive Kveim-Siltzbach skin test, negative cultures, impairment of cell-mediated immunity, and raised levels of immunoglobulins. There may be hypercalciuria with or without hypercalcemia. The course and prognosis of sarcoidosis correlate with the mode of onset: presentation by erythema nodosum heralds a self-limiting course and spontaneous resolution, whereas an insidious onset may be followed by progressive fibrosis. Corticosteroids relieve symptoms and suppress inflammation and granuloma formation. We describe a case of sarcoidosis in an eleven-year-old boy, diagnosed as systemic sarcoidosis with ocular involvement