Left recurrent laryngeal nerve palsy as the presenting feature of sarcoidosis

We report a case of sarcoidosis in which the presenting features were hoarseness of voice, hilar lymphadenopathy and paralysis of the left recurrent laryngeal nerve. Sarcoidosis does not usually enter into the differential diagnosis in this situation, which almost invariably implies the presence of malignant disease, particularly either lymphoma or bronchial carcinoma.