Heerfordt-Waldenström Syndrome: an under-recognised form of sarcoidosis

I read with great interest the article entitled ‘Sarcoidosis with multiorgan involvement’ in the ‘Images’ section of the August 2020 print issue.1 The authors have detailed the diagnostic dilemma encountered as the patient was initially treated for tuberculosis without any improvement before further work-up eventually pointed to sarcoidosis. This quandary is often seen in world regions where tuberculosis (TB) is endemic and thus, TB often becomes the forefront diagnosis for clinicians. The myriad presentation of sarcoidosis that is shared by many other diseases further adds to the perplexing situation. Particularly, the article has drawn my attention to Heerfordt-Waldenström Syndrome (HWS) which is a manifestation of sarcoidosis comprising a clinical tetrad of fever, anterior uveitis, parotid enlargement and facial nerve palsy.2 HWS is regarded as a pathognomonic feature of sarcoidosis. It is noteworthy that the reported patient only exhibited uveitis and thus did not...
Source: Postgraduate Medical Journal - Category: General Medicine Authors: Tags: Letter Source Type: research