Osseous and in particular vertebral sarcoidosis is
exceedingly rare and a difficult diagnosis to establish
because it may simulate many diseases, including even
metastatic malignancy. we present a patient with lesions
in bones, lungs and lymph nodes, mimicking the resence
of extensive metastatic disease. our case emphasises the importance of histological evidence before the diagnosis of osseous sarcoidosis can be made with confidence.