Sarcoidosis is a systemic granulomatous disease of unknown etiology. It is confined to the parotid salivary glands in approximately 6% of patients1; however, 10% to 30% of patients with systemic disease have parotid involvement.2 The incidence of sarcoidosis is greatest between the ages of 20 and 40 years. It is slightly more prevalent in women (prevalence rate varies by country) and in blacks (3.2:1.0)3 and occurs at a ratio of 1:2500 to 1:10 000 persons in the United States.