BRITISH MEDICAL JOURNAL VOLUME 283 15 AUGUST 1981 503 and the astute pathologist (I)r D Eakins) noted that the lymph node attached to the gall bladder showcd classical sarcoid. When she Xwas admitted on that occasion hcr x-ray film showed infiltrative changes and her EGG showed first-degree heart block xwith dropped beats and left bundle-branch block. "hus there was definite active sarcoidosis at the age of 88 years, though not actually "acute sarcoidosis" as rcported by Dr Brown and his colleagues.