TY - JOUR T1 - Systemic sarcoidosis with caseating granuloma JF - BMJ Case Reports DO - 10.1136/bcr.05.2011.4278 VL - 2012 SP - bcr0520114278 AU - Fariba Binesh AU - Hassan Halvani AU - Hossein Navabii Y1 - 2012/01/27 UR - http://casereports.bmj.com/content/2012/bcr.05.2011.4278.abstract N2 - 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. ER -