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Undiagnosed sarcoidosis presenting as acute pancreatitis: a rare presentation of a known disease
  1. Nishraj Basnet1,
  2. Atinuke Aluko2,
  3. Ardy Fenando1 and
  4. Supratik Rayamajhi1
  1. 1Department of Internal Medicine, Michigan State University, East lansing, Michigan, USA
  2. 2Division of Rheumatology, John T Milliken Department of Medicine, Washington Univeristy School of Medicine in St. Louis, St. Louis, Missouri, USA
  1. Correspondence to Dr Nishraj Basnet; basnetni{at}


A 43-year-old African American man presented with right upper quadrant pain and elevated blood pressure. Investigations revealed elevated lipase, hypercalcaemia and elevated creatinine. CT abdomen with contrast revealed extensive intraabdominal lymphadenopathy with an initial suspicion for a lymphoproliferative malignancy. Patient was managed for acute pancreatitis, with further workup of hypercalcaemia revealing an elevated ACE level. Inguinal lymph node biopsy confirmed a non-caseating granuloma leading to the diagnosis of sarcoidosis.

  • interstitial lung disease
  • pancreatitis

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  • Contributors NB: planning, writing, summarising the article, correspondence to BMJ, conception and design. AA: planning, editing the article. AF: editing the article. SR: reviewing the draft, summarising and editing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.