24 / 27
Case Reports 2018
Medical Case Reports
ISSN: 2471-8041
Page 71
May 28-29, 2018
London, UK
8
th
Edition of International Conference on
Clinical and Medical Case Reports
S
arcoidosis is a systemic granulomatous disease that primarily
affects the lung and lymphatic systems of the body. It is most
prevalent in Northern European countries but is less commonly
reported in the Philippines. Most common extrapulmonary
organs involved in sarcoidosis are the liver, eyes joints and
heart with gastrointestinal involvement occurring in 0.1%-0.9%.
We present an 82 year old Filipino male with fever, weight loss
and abdominal lymphadenopathy, who was worked up to have
non-caseating granulomas on lymph node biopsy pointing to a
diagnosis of sarcoidosis. There has always been a belief, however,
that sarcoidosis has been in some way related to tuberculosis
with several studies showing that tuberculosis may have a causal
relationship with sarcoidosis and may even co-exist with each
other. This hypothesized link makes it a challenge to diagnose
and management sarcoidosis in a TB-endemic country and
highlights the limitations of serological and molecular studies to
differentiate between the two conditions. Our case raises a few
intriguing questions on the relationship between sarcoidosis and
tuberculosis, ultimately concluding that in a TB-endemic country,
the differential diagnosis between tuberculosis and sarcoidosis is
truly a challenge.
jgpacispandy@gmail.comSarcoidosis in a tuberculosis-endemic region: a case report
Med Case Rep. 2018, Volume 4
DOI: 10.21767/2471-8084-C1-003
Jessa Gilda Pandy, Juan Javier Lichauco, Evelyn A Esposo
and
Reynaldo Rosales
St. Luke’s Medical Center, Quezon City, Philippines