Article Text

Download PDFPDF

Rare disease
Systemic sarcoidosis with caseating granuloma
Free
  1. Fariba Binesh1,
  2. Hassan Halvani2,
  3. Hossein Navabii3
  1. 1Pathology Department, Shahid Sadoghi University, Yazd, Islamic Republic of Iran
  2. 2Internal Medicine Department, Shahid Sadoghi University, Yazd, Islamic Republic of Iran
  3. 3Shahid Sadoghi Hospital, Yazd, Islamic Republic of Iran
  1. Correspondence to Dr Fariba Binesh, binesh44{at}yahoo.com

Summary

Sarcoidosis is a multi-systemic disease, the diagnosis of which depends on the presence of non-necrotising granulomas in a biopsy specimen. However, variants such as necrotising sarcoid granuloma make it difficult to differentiate the disease from other infectious processes, especially tuberculosis. Here the authors describe the case of a 58-year-old Iranian woman who developed granulomas with extensive necrosis in a systemic sarcoidosis that affected the lung, liver and spleen. These findings led to a diagnosis of tuberculosis and delayed appropriate treatment.

View Full Text

Statistics from Altmetric.com

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.