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The article investigates whether the exposure to World Trade Center (WTC) dust during the collapse and rescue/recovery effort increased the incidence of sarcoidosis or sarcoid-like granulomatous pulmonary disease (SLGPD). Enrollees in the Fire Department of New York (FDNY) WTC monitoring and treatment programs who had chest radiograph findings suggestive of sarcoidosis underwent evaluation. It was found that the incidence of SLGPD was increased among FDNY rescue workers.