A Case of Gastrointestinal Sarcoidosis without Pulmonary Involvement

Kim, Bo Young; Kim, So Ra; Hwang, Jiyoung; Jin, So-Young; Kim, Hyun-Sook

doi:2015.89.1.127

Korean J Med > Volume 89(1); 2015 > Article

Case Report

류마티스

The Korean Journal of Medicine 2015;89(1):127-132.
Published online July 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.89.1.127

A Case of Gastrointestinal Sarcoidosis without Pulmonary Involvement

Bo Young Kim¹, So Ra Kim¹, Jiyoung Hwang², So-Young Jin³, Hyun-Sook Kim¹

¹Departments of Internal Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea
²Departments of Radiology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea
³Departments of Pathology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea

폐침범 없이 위장관 전체에 발현된 유육종증 1예

김보영¹, 김소라¹, 황지영², 진소영³, 김현숙¹

^¹순천향대학교 의과대학 순천향대학교병원 내과
^²순천향대학교 의과대학 순천향대학교병원 영상의학과
^³순천향대학교 의과대학 순천향대학교병원 병리과

Correspondence:
Hyun-Sook Kim, Tel: +82-2-710-3214, Fax: +82-2-709-9554, Email: healthyra@schmc.ac.kr

Received: 7 March 2014 • Revised: 28 March 2014 • Accepted: 7 April 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Sarcoidosis is a multisystemic granulomatous disease of unknown etiology that is based on the presence of non-caseating granulomas. Sarcoidosis commonly involves the lungs, skin, and eyes. Gastrointestinal tract involvement in sarcoidosis is uncommon. Gastrointestinal tract sarcoidosis commonly occurs subclinically, with clinical manifestations present in only 0.1-0.9% of patients with the disease. There are rare case reports of an individual with symptomatic gastrointestinal sarcoidosis. In Korea, gastrointestinal sarcoidosis without pulmonary involvement has not been reported previously. Here, we describe a case of gastrointestinal sarcoidosis in a 37-year-old male with symptoms of weight loss, fever, and abdominal pain. He was diagnosed based on the presence of non-caseating epithelioid granulomas in the stomach, duodenum, and colon by multiple biopsies.

Key Words: Sarcoidosis; Gastrointestinal involvement

주제어: 유육종증; 위장관 침범