Nodular Pulmonary Sarcoidosis

Mohammed Abdalla, Wiam Mohamed, Abdelnasir Mohamed, Cristina Corsini


Nodular sarcoidosis is a rare form of pulmonary sarcoidosis comprising 4% of lung involvement in this disease. It usually affects African American women with a mean age of 35 years. It presents with constitutional symptoms associated with chest imaging findings of multiple or solitary lung nodules. In our case we present a 38-year-old woman who had chronic productive cough associated with fever and dyspnea for 1 month. She had course of antibiotics without improvement in her symptoms. Chest imaging showed multiple nodules measuring up to 7.5 cm in size. Lung biopsy was obtained and histopathology revealed non-caseating granulomas consistent with sarcoidosis. Angiotensin-converting enzyme levels were elevated. She received systemic steroids and the nodules resolved on follow-up imaging.

J Med Cases. 2019;10(2):46-48


Sarcoidosis; Lung nodules; Nodular sarcoidosis

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