DOI: 10.36347/sjmcr.2013.v01i03.007

Pages: 75-77

Sarcoidosis is a multisystem disorder of unknown cause. It frequently presents with bilateral hilar lymphadenopathy, pulmonary infiltration, ocular and skin lesions. Hepatic involvement is seen in relatively less number of cases. Because of diverse manifestations, patients with sarcoidosis may present to clinicians with different symptoms. We describe a case of 49 years old male who presented with typical symptoms of dry cough, weight loss and evening rise of temperature mimicking tuberculosis. No hilar lymphadenopathy was seen on CECT chest. CECT abdomen revealed liver and splenic parenchymal involvement which on further investigation by FNAC liver showed well formed epithelioid cell granulomas. Transbronchial lung biopsy was also performed which depicted noncaseous epithelioid cell granulomas suggesting systemic sarcoidosis. The diagnosis was further confirmed by ruling out other infections. In conclusion, the diagnosis of sarcoidosis has to be made through prudent and comprehensive investigations, typical imaging, histological examination and ruling out other infections.