KMID : 1084220220290030181
|
|
Journal of Rheumatic Diseases 2022 Volume.29 No. 3 p.181 ~ p.186
|
|
Pediatric Sarcoidosis Misdiagnosed as Hepatosplenic Abscesses: A Case Report and Review
|
|
Lee Su-Min
Choi Hyung-Wook Lim Sung-Min Shin Je-Hee Kang Ji-Man Ahn Jong-Gyun
|
|
Abstract
|
|
|
Sarcoidosis is a systemic granulomatous disorder of unknown etiology characterized by granuloma formation. Due to the limited incidence of sarcoidosis in pediatric patients, little is known about the clinical course of this disease. A combination of clinical, radiologic, and pathologic examination is necessary to exclude other differential diagnoses (i.e., infection and granulomatous inflammatory disorder) and establish a diagnosis of sarcoidosis. Here, we report a case of histologically confirmed sarcoidosis initially misdiagnosed as hepatosplenic abscesses in an 11-year-old male. Treatment with corticosteroids improved his symptoms and resolved his skin and hepatosplenic lesions. A three-year follow-up was uneventful. This study emphasizes the importance of considering sarcoidosis in children presenting with findings of multi-organ involvement in the presence of histologic evidence of granuloma.
|
|
KEYWORD
|
|
Sarcoidosis, Children, Granuloma, Liver abscess
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|