Diagnostic Dilemma of Sarcoidosis: A Case Report Masquerading as Tuberculosis

Abstract

Sarcoidosis is a chronic multisystem disorder of unknown etiology characterized by formation of granulomata within affected organs and consequent distortion of their normal architecture. Typically, these are non-caseating epithelioid granulomata involving organized collections of activated macrophages and T lymphocytes. In countries where tuberculosis is endemic, sarcoidosis is often misdiagnosed and mistreated as tuberculosis. We present case report of a 47-year-old female who presented with 2 years history of recurrent, multiple nodules with occasional joint pain & fever and had received anti-tubercular therapy without any improvement. A diagnosis of sarcoidosis is made finally and she was managed accordingly.

Bangladesh J Medicine Jan 2017; 28(1) : 50-52