Parotid gland sarcoidosis occurs in 6% of patients with sarcoidosis. It was bilateral in 24 (73%), slightly commoner in women, and presented in the majority in the 20 to 40 year age group. There was widespread involvement of other systems, particularly intrathoracic, peripheral lymph-adenopathy, uveitis, lacrimal gland enlargement and skin disease. Patterns of involvement may be pathognomonic as in Heerfordt's syndrome. This account provides the differential diagnosis, imaging and biopsy techniques, and treatment.