There were no asymptomatic cases in our series, whereas fortuitous discovery is common in the young,6–8 probably because of a greater frequency of systematic radiologic examinations. General signs are the primary indicators in older people. However, alteration of general health, a major sign in our series (53% of patients), was less frequent in other nongeriatric series (6.3% for Judson et al,9 16% for Chapelon et al,6 and 13.7% for Garret et al8) and often led to empiric antituberculous therapy.8 Sarcoidosis is also a possible etiology for unexplained prolonged fever in elderly subjects.10 Pulmonary functional signs (46.3%) were prominent “organ symptoms,” as clearly documented in other studies,3–4,9 and patients showed dyspnea, cough, chest pain, hemoptysis, and recurrent infection. Mediastinum-lung involvement (57% of cases) was less frequent than in other series (90% for Garret et al,8 83% for Chapelon et al,6 and 82% for Stadnyk et al3), which tends to confirm the symptomatic atypia and diagnostic difficulty encountered in older persons. Articular involvement consisted especially of chronic, subacute, or acute inflammatory polyarthralgias or polyarthritis affecting particularly the large joints, as classically described.11–12 However, acute articular manifestations were less frequent in our series, and chronic manifestations more frequent.6,11 Renal, neurologic, or muscular localizations are uncommon, often difficult to diagnose, and not always susceptible to corticosteroid therapy.6,13–19 Lacrimal involvement has been documented in older subjects.20Dryness syndrome often exists, and its importance is probably underrated. This symptom is more often related to parotid than lacrimal involvement. Although ocular involvement was only reported three times in our series, sarcoidosis is a frequent etiologic diagnosis for uveitis in older persons.21–22 Retinal periphlebitis (one case) is also an acknowledged complication.23Pericarditis is not the most frequently reported form of cardiac involvement.24Cardiac sarcoidosis is especially characterized by conduction and rhythm disorders.25 Three cases of pericarditis occurred in our series, but three other patients underwent pacemaker implantation for conduction disorders that may have been sarcoidosis related.