BMJ Case Reports 2012; doi:10.1136/bcr-2012-006559
  • Unusual association of diseases/symptoms

Symptomatic gastric sarcoidosis in a patient with pulmonary sarcoidosis in remission

  1. Richard D Rothman
  1. Department of Medicine, Lahey Clinic Medical Center, Burlington, Massachusetts, USA
  1. Correspondence to Dr Richard D Rothman, rrothman{at}

Sarcoidosis is a multisystem, non-infectious, granulomatous disease of unknown cause, characterised by histological evidence of non-caseating granulomas. Gastrointestinal (GI) involvement is uncommon, reported in <1% of patients with the disease. Herein, we present a rare case of isolated gastric sarcoidosis in a patient with latent pulmonary sarcoidosis and unexplained manifestations of GI disease, illustrating that clinical disease expression is variable; may be organ-specific; and, known disease latency confined to one organ does not exclude the possibility of active disease in another organ system. In patients with organ-specific sarcoidosis, whether active or in remission, presenting with GI symptoms, the possibility of gastric sarcoidosis should be considered. Oesophagogastroduodenoscopy and biopsy, when indicated, should be considered for definitive diagnosis.


  • Competing interests None.

  • Patient consent Obtained.

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