DOI: 10.36347/sjmcr.2014.v02i02.008

Pages: 90-92

Sarcoidosis is a multisystem, chronic granulomatous inflammatory disorder of unknown aetiology. We presented such a case report of A 48 year old female with chief complaints of low grade fever, mild cough, for 15 days, hoarseness of voice, difficulty in swallowing and drooling of saliva for 2 days. This patient developed cranial neuritis with hilar and mediastinal lymphadenopathy with unilateral vocal cord palsy. Gradual clinical improvement in cranial neuritis and radiographic reduction in hilar and mediastinal lymphadenopathy with return of vocal cord motion occurred during steroid treatment. Prompt treatment with steroids recommended when diagnosis is established .On clinical evaluation, we have observed a complete reversal of the unilateral vocal cord paralysis in this case.