Childhood sarcoidosis. Progressive systemic illness with micronodular pulmonary involvement

A 9-year-old black girl had progressive generalized sarcoidosis. Chest roentgenograms disclosed severe, disseminated micronodular infiltrates, and pulmonary function was severely decreased. Results of a liver biopsy disclosed granulomas consistent with sarcoidosis. She responded dramatically to corticosteroid therapy, both clinically and radiologically.