Sarcoidosis is a multisystem disorder of unknown etiology usually affecting the respiratory tract and characterized by the formation of immune granulomas in involved organs .Asthma is a heterogeneous disease, usually characterized by chronic airway inflammation. It is defined by the history of respiratory symptoms such as wheeze, shortness of breath, chest tightness and cough that vary over time and in intensity, together with variable expiratory airflow limitation. Association between sarcoidosis and asthma is unusual and controversial. A 47-year-old female with clinical diagnosis of bronchial asthma developed skin lesions, bilateral hilar with mediastinal lymphadenopathy and was diagnosed with sarcoidosis on the basis of skin biopsy and serum ACE levels.