Multi-organ involvement in non-pulmonary sarcoidosis

Isolated extrapulmonary involvement in sarcoidosis is uncommon and reported in 5-9% of systemic sarcoidosis, this constitutes a clinical challenge due to its extensive differential diagnosis. Extrapulmonary sarcoidosis affecting more than three organs is rarely reported and there are scarce literature data published on diagnosis, clinical course and management in those cases. We hereby discuss a case of a 41-year-old female with systemic non-pulmonary sarcoidosis affecting lacrimal gland, peripheral lymph nodes, parotid gland and the liver. (c) 2021 Elsevier Espana, S.L.U. and Sociedad Espanola de Reumatologi ' a y Colegio Mexicano de Reumatologi ' a. All rights reserved.