The clinical manifestations of sarcoidosis seen at the Lagos University Teaching Hospital are presented. The clinical features and management were in the main similar to those described in the temperate countries, but the patients tended to be older at presentation and were seen at a more advanced stage of the disease.Erythema nodosum and ocular lesions were relatively rare. The rarity of sarcoidosis in Lagos may be more apparent than real. Increased physician awareness of the disease is leading to the detection of more cases.