Symblepharon in sarcoidosis.

A 38-year-old black man had developed sarcoidosis, confirmed by biopsy five years earlier. He then developed skin lesions and, at age 38, follicles and cicatrization of the upper and lower palpebral conjunctivae of both eyes. This patient had keratoconjunctivitis sicca, lacrimal gland enlargement, and cicatrization of the conjunctiva with symblepharon. Biopsies of the lacrimal gland, conjunctiva, skin, nasal polyps, and epididymis all showed sarcoidosis.