Monday, May 7, 2012

Sarcoidosis

African American, Woman
Dyspnoea
Erythema nodosum on legs
Hilar adenopathy, fibrosis on Cxray
lymph node biopsy shows non caseating granuloma
Granuloma may be producing vitamin D causing hypercalcemia, hypercalciuria
Restrictive pattern on PFT
Cardiac invovement: restrictive cardiomyopathy- diastolic dysfxn
Other features: enlarged parotids, facial nerve palsy, uveitis, hepatomegaly, CNS involement.

Tmt: Steroids (if symptomatic only)

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