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Rare case of multisystem sarcoidosis
  1. Shaney Louise Barratt1,2,
  2. Joseph Robertshaw3,
  3. Helen Campbell4 and
  4. Emma Clarke5
  1. 1Department of Respiratory Medicine, North Bristol NHS Trust, Westbury on Trym, UK
  2. 2Academic Respiratory Unit, University of Bristol, Bristol, UK
  3. 3School of Medical Sciences, University of Bristol, Bristol, UK
  4. 4Department of Renal Medicine, North Bristol NHS Trust, Westbury on Trym, UK
  5. 5Department of Rheumatology, North Bristol NHS Trust, Westbury on Trym, UK
  1. Correspondence to Dr Shaney Louise Barratt; shaney.barratt{at}


Sarcoidosis is a multisystem disorder of unknown cause, characterised pathologically by granulomas and primarily affecting the lung and lymphatic system of the body. It has been termed the ‘great pretender’ due to its ability to mimic other diseases. In this article we describe a case of sarcoidosis with simultaneous rare manifestations of extrathoracic disease (thyroid, osseous and renal). It highlights the enigmatic nature of sarcoidosis and the diagnostic challenge it can pose to clinicians. A multidisciplinary approach to both diagnosis and management between endocrinology, nephrology, neurosurgical, rheumatological and respiratory teams was paramount for effective clinical improvement.

  • interstitial lung disease
  • musculoskeletal syndromes
  • acute renal failure

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  • Contributors The manuscript was conceptualised by SLB. JR wrote the preliminary draft of the case presentation. SLB developed the first draft of the complete manuscript. All authors (SLB, JR, EC, HC) contributed equally to the final edit of the manuscript.

  • 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 Obtained.

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

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