Sarcoidosis present as endobronchial lung mass: A rare case report with review of literature
Sarcoidosis is a multisystem granulomatous disorder of unknown etiology, primarily affecting the intrathoracic lymph node and the lung. The endobronchial involvement in sarcoidosis is not uncommon and may appear as nodules, cobblestoning, erythema, or plaque, but presentation as an endobronchial mas...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2023;volume=12;issue=12;spage=3399;epage=3401;aulast=Rai |
| _version_ | 1797232639450546176 |
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| author | Deependra Kumar Rai Prashant Kumar |
| author_facet | Deependra Kumar Rai Prashant Kumar |
| author_sort | Deependra Kumar Rai |
| collection | DOAJ |
| description | Sarcoidosis is a multisystem granulomatous disorder of unknown etiology, primarily affecting the intrathoracic lymph node and the lung. The endobronchial involvement in sarcoidosis is not uncommon and may appear as nodules, cobblestoning, erythema, or plaque, but presentation as an endobronchial mass has been rarely described. We report here a 50-year-old gentleman who presented with nonproductive cough and dyspnea on exertion. Video bronchoscopy revealed a polypoid mass in the right lower lobe bronchus occluding the posterior basal segment, and bronchial biopsy revealed noncaseating granulomatous inflammation. Bronchoalveolar lavage (BAL) fluid was negative for tuberculosis, fungal infection, and malignancy. Mantoux test was negative, and serum angiotensin-converting enzyme was elevated. The diagnosis of sarcoidosis was made, and the patient was started on an oral corticosteroid. After treatment, the patient showed significant improvement in symptoms. This case report highlights a rare presentation of sarcoidosis as an endobronchial mass lesion. It is important to take a biopsy to differentiate from other common causes of endobronchial mass, such as malignancy and, rarely, tuberculosis. Sarcoidosis should be considered in a differential of the endobronchial mass lesion. |
| first_indexed | 2024-04-24T16:03:28Z |
| format | Article |
| id | doaj.art-0c974aa46d34452ea172466cbf429d84 |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-04-24T16:03:28Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-0c974aa46d34452ea172466cbf429d842024-04-01T06:00:31ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632023-01-0112123399340110.4103/jfmpc.jfmpc_255_23Sarcoidosis present as endobronchial lung mass: A rare case report with review of literatureDeependra Kumar RaiPrashant KumarSarcoidosis is a multisystem granulomatous disorder of unknown etiology, primarily affecting the intrathoracic lymph node and the lung. The endobronchial involvement in sarcoidosis is not uncommon and may appear as nodules, cobblestoning, erythema, or plaque, but presentation as an endobronchial mass has been rarely described. We report here a 50-year-old gentleman who presented with nonproductive cough and dyspnea on exertion. Video bronchoscopy revealed a polypoid mass in the right lower lobe bronchus occluding the posterior basal segment, and bronchial biopsy revealed noncaseating granulomatous inflammation. Bronchoalveolar lavage (BAL) fluid was negative for tuberculosis, fungal infection, and malignancy. Mantoux test was negative, and serum angiotensin-converting enzyme was elevated. The diagnosis of sarcoidosis was made, and the patient was started on an oral corticosteroid. After treatment, the patient showed significant improvement in symptoms. This case report highlights a rare presentation of sarcoidosis as an endobronchial mass lesion. It is important to take a biopsy to differentiate from other common causes of endobronchial mass, such as malignancy and, rarely, tuberculosis. Sarcoidosis should be considered in a differential of the endobronchial mass lesion.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2023;volume=12;issue=12;spage=3399;epage=3401;aulast=Raibronchoscopylung massmalignancysarcoidosis |
| spellingShingle | Deependra Kumar Rai Prashant Kumar Sarcoidosis present as endobronchial lung mass: A rare case report with review of literature Journal of Family Medicine and Primary Care bronchoscopy lung mass malignancy sarcoidosis |
| title | Sarcoidosis present as endobronchial lung mass: A rare case report with review of literature |
| title_full | Sarcoidosis present as endobronchial lung mass: A rare case report with review of literature |
| title_fullStr | Sarcoidosis present as endobronchial lung mass: A rare case report with review of literature |
| title_full_unstemmed | Sarcoidosis present as endobronchial lung mass: A rare case report with review of literature |
| title_short | Sarcoidosis present as endobronchial lung mass: A rare case report with review of literature |
| title_sort | sarcoidosis present as endobronchial lung mass a rare case report with review of literature |
| topic | bronchoscopy lung mass malignancy sarcoidosis |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2023;volume=12;issue=12;spage=3399;epage=3401;aulast=Rai |
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