Sarcoidosis: When the diagnosis is not what it seems

被引：0
|
作者：
de Albuquerque-Monteiro, Ines [1 ]
Silverio, Bernardo [1 ]
Freitas, Isabel [1 ]
Teixeira, Sofia [1 ]
机构：
[1] Ctr Hosp Medio Ave, Vila Nova De Famalicao, Portugal
来源：
GALICIA CLINICA | 2024年 / 85卷 / 02期
关键词：
Sarcoidosis; non-caseating granulomas; adenopathy; lymphoproliferative;
D O I：
10.22546/73/4129
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Sarcoidosis is a multisystemic disease characterized by the presence of non-caseating granulomas. We present a 26-year-old man who presents to the emergency department with fever, myalgia, excessive sweating, and weight loss. The analysis reveals pancytopenia, high than 150 U/L; splenomegaly, peri-aortic-caval retroperitoneal adenopathies confirmed by imaging. After ruling out the most common causes, a bronchoalveolar lavage showed an elevated CD4/CD8 ratio and lymphocytosis exceeding 50%, as well as confluent non-caseating epithelioid granulomas in the biopsy of the adenopathy, establishing the diagnosis of stage III sarcoidosis.
引用
收藏
页码：37 / 39
页数：3
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