An Interesting Case with Extrapulmonary Manifestations of Sarcoidosis

Abstract

Sarcoidosis is characterized by a various courses and clinical presentation and in this era, some patients may have some symptoms difficult to establish the sarcoidosis diagnosis. Here we report a new case of sarcoidosis with some learning points for the clinicians. We report a 39-year-old male patient attending to the clinic due to productive cough, dyspnea, and skin lesions as papule as well as erythematous plaques in extensor regions of elbows and knees. Regarding the biopsy results of skin lesions, hillar, mediastinal lymphadenopathy, and serum ACE level the sarcoidosis was proposed. Fatigue, spinal pain, and paraplegia plus paraparesis of lower limb, tachycardia, multiple lesions at the lumbar spine, skin lesions, and posterior fossa toxoplasmosis were the findings at later visits, representing a confusing course. Finally, according to the presentation of the case reported in this paper, we concluded that the patients with sarcoidosis may present with multiple extrapulmonary manifestations that would result in some confusing points for diagnosis. Prompt clinical and imaging assessment would result in faster diagnosis and better prognosis to decrease the burden of disease.

Keywords

• extrapulmonary manifestation
• sarcoidosis