Pediatric Sarcoidosis Misdiagnosed as Hepatosplenic Abscesses: A Case Report and Review
10.4078/jrd.2022.29.3.181
- Author:
Su Min LEE
1
;
Hyungwook CHOI
;
Sungmin LIM
;
Jehee SHIN
;
Ji-Man KANG
;
Jong Gyun AHN
Author Information
1. Department of Pediatrics, Severance Children’s Hospital, Yonsei University College of Medicine, Seoul, Korea
- Publication Type:Case Report
- From:Journal of Rheumatic Diseases
2022;29(3):181-186
- CountryRepublic of Korea
- Language:English
-
Abstract:
Sarcoidosis is a systemic granulomatous disorder of unknown etiology characterized by granuloma formation. Due to the limited incidence of sarcoidosis in pediatric patients, little is known about the clinical course of this disease. A combination of clinical, radiologic, and pathologic examination is necessary to exclude other differential diagnoses (i.e., infection and granulomatous inflammatory disorder) and establish a diagnosis of sarcoidosis. Here, we report a case of histologically confirmed sarcoidosis initially misdiagnosed as hepatosplenic abscesses in an 11-year-old male. Treatment with corticosteroids improved his symptoms and resolved his skin and hepatosplenic lesions. A three-year follow-up was uneventful. This study emphasizes the importance of considering sarcoidosis in children presenting with findings of multi-organ involvement in the presence of histologic evidence of granuloma.
