We report the case of a 22-year-old woman who is suspected of having primary 
Sjögren s syndrome. She complaining of bilateral swelling of eyelids and the 
parotid glands of three weeks duration. Physical examination revealed a 
bilateral enlargement of both parotid glands, which were solid and painful. 
Sjögren s syndrome was suspected at that stage, and the serologic and specific 
analysis were done. All these tests didn t find any autoimmune or visceral 
features typical of Sjögren s syndrome and autoantibodies were negative. During 
follow-up time the right facial nerve palsy developed. Pulmonary radiography 
revealed bihilar lymphadenopathy and labial salivary gland biopsy revealed 
non-caseating granuloma. The patient was classified as having stage I 
sarcoidosis. This case demonstrates the importance of being aware of the leading 
clinical signs and symptoms in case of Heerfordt syndrome.