Subcutaneous sarcoidosis is a multisystem granulomatous disease with cutaneous lesions present in about one fourth of patients. Diagnosis may require a high index of suspicion. A patient was referred to the respiratory clinic for evaluation of a firm, non-tender, subcutaneous, mobile mass on the left forearm with bilateral hilar lymphadenopathy on the CT chest. There is a strong association between subcutaneous sarcoidosis and bilateral hilar lymphadenopathy (72.7%). Clinical and histopathological reports have confirmed subcutaneous sarcoidosis, also radiological examination with the hilar lymph node involvement. About 15% of patients have in order of frequency uveitis, parotitis, arthritis, mucositis, dactylitis, neurological and renal involvement, hepatosplenomegaly. This is a rare form of the nodular cutaneous sarcoidosis.

Keywords: Corticosteroids, Epithelioid granuloma, Methotrexate, Sarcoidosis