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.
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Edwin L. Kendig (1974) studied this question.