We experienced a case of sarcoidosis accompanied with azoospermia due to the
involvement of epididymis, besides the generalized involvement of the paratracheal and
hilar lymph nodes, skin and lung.
Final diagnosis of sarcoidosis was established by pathological evidence of noncaseating
granuloma from the involved organs, typical radiological findings and consistent clinical
features. A movable, contender 1.5×0.8 ㎝ sired nodule was palpated on epididymis, and
multiple small nodules were noticed in both testis and epididymis by scrotal
ultrasonogram. Semen analysis showed azoospermia initially.
After treatment with prednisolone for 12 months, sperm was increased to 64,800,000/
㎖, and 70% of them were motile when they were measured at 15 minutes after
ejaculation. The patient's condition became better and the typical radiological findings of
involved organs were improved as well.
As far as we studied, sarcoidosis is known to involve multiple organs, but epididymal
sarcoidosis is very rare. So we report a case of sarcoidosis involving epididymis which
caused azoospermia.
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