There are two important differentials for non-caseating granulomatous inflammatory tissue-leprosy and sarcoidosis-which presents a diagnostic challenge due to their histological similarities and specific geographical distribution. This article describes a rare presentation of systemic sarcoidosis called Heerfordt's syndrome with the triad of parotitis, uveitis, fever, and optional paralysis of facial nerve. This case was initially diagnosed as leprosy.
Keywords: Leprosy; non caseating granuloma; sarcoidosis.