[A case of Heerfordt's syndrome].

We treated a 27-year-old man with Heerfordt's syndrome and hearing loss. Physical examination showed swelling of both parotid glands, right peripheral facial palsy and uveitis(iridocyclitis), but no skin lesions. Chest X-ray showed typical bilateral hilar lymphadenopathy. Biopsies of the parotid gland and the gastrocnemius muscle showed epithelioid granulomas. The above findings were consistent with sarcoidosis. Steroid therapy cured the swelling of the parotid glands and the facial palsy. When steroid therapy was stopped, he complained of right hearing disturbance and tinnitus. The right sensorineural hearing loss became progressively worse. Steroid therapy was resumed and hearing became normal. The final diagnosis was sarcoidosis with facial palsy and acoustic nerve dysfunction.