Sarcoidosis-Like Granulomatous Lymphadenopathy Mistaken for Neoplastic Disease on Positron Emission Tomography

Autor: Ali Ammar MD, Zahia Esber MD, Sunil Daniel Bali, Garrett Waggoner MD, Rumi Khan MD
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of Investigative Medicine High Impact Case Reports, Vol 7 (2019)
Druh dokumentu: article
ISSN: 2324-7096
23247096
DOI: 10.1177/2324709619892724
Popis: This is a rare case of sarcoidosis-like granulomatous lymphadenopathy that was initially mistaken for a neoplastic process due to the degree of hypermetabolic changes observed on positron emission tomography (PET) scan. Sarcoid-like granulomatous pulmonary disease is a disorder that has been described in WTC (World Trade Center) Rescue Workers, and also known as post 9/11 sarcoidosis. We present an interesting case of a man who presented with several months of progressive dyspnea and was later discovered to have significant bilateral hilar adenopathy, which was PET avid. Even more interesting, this patient’s symptoms completely resolved without the use of systemic steroids or immune suppressants. This is a condition that requires awareness in order to avoid repeating unnecessary tests of performing interventions on a benign condition that may resolve on its own.
Databáze: Directory of Open Access Journals