Multiple bilateral pulmonary nodules masquerading as pulmonary metastasis; a case of nodular sarcoidosis

Sarcoidosis is a multi-system inflammatory disorder of unknown etiology that is manifested by the presence of non-caseating granulomas. Multiple pulmonary nodules are rare presentations of sarcoidosis. We report a case of nodular sarcoidosis in a young male of Middle-East origin who had initially pr...

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Bibliographic Details
Published inElectronic physician Vol. 8; no. 8; pp. 2802 - 2806
Main Authors Jafari, Mostafa, Farrokh, Donya, Mohammadpanah, Najmeh
Format Journal Article
LanguageEnglish
Published Iran Electronic physician 25.08.2016
Electronic Physician
Subjects
Case Report
Multiple Pulmonary Nodules
Sarcoidosis
Sarcoidosis
Multiple Pulmonary Nodules
Neoplasm Metastasis
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Summary:Sarcoidosis is a multi-system inflammatory disorder of unknown etiology that is manifested by the presence of non-caseating granulomas. Multiple pulmonary nodules are rare presentations of sarcoidosis. We report a case of nodular sarcoidosis in a young male of Middle-East origin who had initially presented with bilateral painful ankle edema. His chest X-ray showed multiple bilateral pulmonary nodules. A high resolution computed tomography scan of the chest demonstrated multiple pulmonary nodular lesions and also mediastinal and hilar lymphadenopathy. Subsequent biopsies revealed non-necrotizing granuloma with multi-nucleated giant cells indicative of sarcoidosis. An appropriate work-up was done to confirm the true nature of the nodules and facilitate treatment.
ISSN:2008-5842
2008-5842
DOI:10.19082/2802