Sarcoidosis is a not uncommon systemic disease found chiefly in the southeastern United States. Only rarely is the otolaryngologist confronted with its complications. The case reported here is that of a patient who had had two tracheotomies performed to relieve obstructive dyspnea from this condition; her course was then apparently favorably influenced by prednisone, which allowed her decannulation. Report of a Case A 32-year-old Negro woman was first seen at the Episcopal Eye, Ear, and Throat Hospital on Oct. 2, 1950, complaining of a lump in her left eyelid of six months' duration. At this time she was seen to have two verrucous lesions of the left inner canthus, as well as a deeper mass in the region of the left lacrimal gland. Both verrucae were removed, and the lacrimal gland was subjected to biopsy. All three sections were considered by the pathologist to be typical of Boeck's sarcoid. She