Source of Support: None, Conflict of Interest: None
Sarcoidosis has a world wide distribution. It appears to be uncommon in less developed countries (James, 19691). However, sarcoidosis is being increasingly recognized in India (Gupta et al, 19822). Multiple discrete nodes of varying sizes were removed from the superior mediastinum in a 40 year old woman who underwent thoracotomy. There was difficulty in deciding whether the clinical and histopathological features were consistent with tuberculosis or sarcoidosis. There was a dilemma whether to start or withhold antituberculous treatment. The clinical response to a trial of antituberculous treatment was good. The conflicting views in the literature regarding the relationship between tuberculosis and sarcoidosis are discussed.