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A symptomatic gastric sarcoidosis and asymptomatic pulmonary sarcoidosis: a rare manifestation

机译:有症状的胃结节病和无症状的肺结节病:一种罕见的表现

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摘要

Sarcoidosis is a granulomatous disease of unknown etiology which may present with systemic manifestations. The diagnosis of gastric sarcoidosis needs much effort to accomplish as it is exceedingly rare, and the treatment is usually recommended exclusively for symptomatic disease. Here, we present a case of gastric sarcoidosis in a 31-year old black female patient with symptoms of nausea and epigastric pain. A diagnosis of gastric sarcoidosis was mainly based on the presence of non-necrotizing granulomas on biopsy following esophagogastroduodenoscopy (EGD). She was treated with steroid with high dose at first, followed by a slow taper and the symptoms responded to the treatment.
机译:结节病是一种病因不明的肉芽肿性疾病,可能表现为全身性表现。胃结节病的诊断非常罕见,因此需要付出很多努力才能完成,通常建议仅针对症状性疾病进行治疗。在这里,我们介绍了一名31岁的黑人女性患者胃结节病的病例,该患者有恶心和上腹部疼痛的症状。胃结节病的诊断主要基于食管胃十二指肠镜(EGD)活检时存在非坏死性肉芽肿。首先,她接受高剂量的类固醇激素治疗,然后逐渐减量,症状对治疗有所反应。

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