Sarcoidosis presenting as proximal myopathy.

Sarcoidosis is a multi-system inflammatory disorder of unknown cause. Most patients with this disease present with respiratory symptoms as lungs are frequently affected organs. Symptomatic muscle involvement is rare1 and presentation of this disease as myopathy is even rarer.2 We describe a case of a lady who presented with severe disabling proximal myopathy as the only feature of underlying sarcoidosis. Finding of non-caseating granulomas on muscle histopathological examination and raised angiotensin converting enzyme levels (ACE) clinch the diagnosis. To our knowledge such a presentation of sarcoidosis has never been reported from Pakistan.