An unusual case of duodenal sarcoidosis

被引：1

作者：

Leroy, C. ^{[1
]}

Girard, C. ^{[1
]}

Girard-Madoux, M. -H. ^{[1
]}

Coppere, B. ^{[1
]}

Dernurs-Clavel, H. ^{[1
]}

Perard, L. ^{[1
]}

Hot, A. ^{[1
]}

Ninet, J. ^{[1
]}

机构：

[1] Grp Hosp Edouard Herriot, Serv Med Interne, F-69437 Lyon 03, France

来源：

REVUE DE MEDECINE INTERNE | 2015年 / 36卷 / 11期

关键词：

Gastrointestinal sarcoidosis; Duodenal sarcoidosis; Granulomatosis; Vomiting; MANIFESTATIONS;

D O I：

10.1016/j.revmed.2014.12.011

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction. - Sarcoidosis is a systemic granulomatous disorder of unknown aetiology. It may rarely affect the gastrointestinal tract. Case report. - We reported a 54-year-old woman with a delayed diagnosis of duodenal sarcoidosis. She presented with gastric and right upper abdominal pain associated with vomiting and marked weight loss. Abdominal computed tomographic scan showed non-compressive retroperitoneal lymph nodes and histological examination revealed non-caseating epithelioid granulomas typical of sarcoidosis. Diagnosis of duodenal sarcoidosis was obtained at the third gastroscopy. The patient's condition improved quickly with corticosteroid therapy. Conclusion. - Gastrointestinal sarcoidosis should be looked for in patients with digestive symptoms and another sarcoid localisation. Furthermore, it is important to repeat gastroscopy to confirm diagnosis because treatment improved most patients. (C) 2015 Published by Elsevier Masson SAS on behalf of the Societe nationale francaise de medecine interne (SNFMI).

引用

页码：773 / 776

页数：4

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