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Pediatric Sarcoidosis Misdiagnosed as Hepatosplenic Abscesses: A Case Report and Review

Authors
 Su Min Lee  ;  Hyungwook Choi  ;  Sungmin Lim  ;  Jehee Shin  ;  Ji-Man Kang  ;  Jong Gyun Ahn 
Citation
 Journal of Rheumatic Diseases, Vol.29(3) : 181-186, 2022-07 
Journal Title
Journal of Rheumatic Diseases
ISSN
 2093-940X 
Issue Date
2022-07
Keywords
Sarcoidosis ; Children ; Granuloma ; Liver abscess
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.
Files in This Item:
T202203966.pdf Download
DOI
10.4078/jrd.2022.29.3.181
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ji-Man(강지만) ORCID logo https://orcid.org/0000-0002-0678-4964
Shin, Je Hee(신제희)
Ahn, Jong Gyun(안종균) ORCID logo https://orcid.org/0000-0001-5748-0015
Lee, Su Min(이수민)
Lim, Sungmin(임성민)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/191620
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