Childhood Sarcoidosis Presenting as Recurrent Facial Palsy

Background: Recurrent facial palsy in a patient merits investigation for underlying etiology.Case characteristics: 8-year-old boy with erythematous itchy skin lesion and recurrentfacial palsy. Observation: He had a past history of aseptic meningitis andnephrocalcinosis. Raised angiotensin converting enzyme levels, interstitial lung disease onCT chest, and non caseating granulomas on skin biopsy clinched the diagnosis ofsarcoidosis. Message: Multisystem involvement and recurrent lower motor facial nervepalsy is a clinical clue for sarcoidosis.