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Heerfordt-Waldenström Syndrome: an under-recognised form of sarcoidosis
  1. Kuganathan Ramasamy
  1. Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Tuanku Ja’afar Seremban, Negeri Sembilan, Malaysia
  1. Correspondence to Kuganathan Ramasamy, Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Tuanku Ja’afar, Jalan Rasah, Seremban 70300, Malaysia; kuganathan.ram{at}

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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 …

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  • Contributors KR conceived the idea for this manuscript and is the sole author of this letter.

  • Funding The author has not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.