New‐onset lung sarcoidosis, an adverse event by COVID‐19 or a sign of convalescence; a case report

Key Clinical Message Sarcoidosis is a systemic inflammatory disease able to affect any organ within the body. Sarcoidosis may be the body's secondary response to COVID‐19 infection and a sign of rehabilitation. Early response to the treatments reinforces this hypothesis. The majority of sarcoid...

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Main Authors: Somayeh Sadeghi, Shadi Reisizadeh Mobarakeh, Mahnaz Momenzadeh, Amir Aria, Mitra Heidarpour, Somayeh Haji Ahmadi, Zohreh Naderi
Format: Article
Language:English
Published: Wiley 2023-05-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.7339
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author Somayeh Sadeghi
Shadi Reisizadeh Mobarakeh
Mahnaz Momenzadeh
Amir Aria
Mitra Heidarpour
Somayeh Haji Ahmadi
Zohreh Naderi
author_facet Somayeh Sadeghi
Shadi Reisizadeh Mobarakeh
Mahnaz Momenzadeh
Amir Aria
Mitra Heidarpour
Somayeh Haji Ahmadi
Zohreh Naderi
author_sort Somayeh Sadeghi
collection DOAJ
description Key Clinical Message Sarcoidosis is a systemic inflammatory disease able to affect any organ within the body. Sarcoidosis may be the body's secondary response to COVID‐19 infection and a sign of rehabilitation. Early response to the treatments reinforces this hypothesis. The majority of sarcoidosis patients require immunosuppressive therapies, including corticosteroids. Abstract Most studies so far have focused on the management of COVID‐19 in patients suffering from sarcoidosis. Nevertheless, the current report aims to present a COVID‐19‐induced sarcoidosis case. Sarcoidosis is a systemic inflammatory disease with granulomas. Still, its etiology is unknown. It often affects the lungs and lymph nodes. A previously healthy 47‐year‐old female was referred with the following chief complaints: atypical chest pain, dry cough, and dyspnea on exertion within a month after COVID‐19 infection. Accordingly, a chest computed tomography revealed multiple conglomerated lymphadenopathies in the thoracic inlet, mediastinum, and hila. A core‐needle biopsy from the nodes revealed non‐necrotizing granulomatous inflammation, sarcoidal type. The sarcoidosis diagnosis was proposed and confirmed by a negative purified protein derivative (PPD) test. Accordingly, prednisolone was prescribed. All symptoms were relieved. A control lung HRCT was taken 6 months later, showing the lesions had disappeared. In conclusion, sarcoidosis may be the body's secondary response to COVID‐19 infection and a sign of disease convalescence.
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spelling doaj.art-6382ffd3f46f4d7bac2fc182c2a8f2362023-05-25T05:58:39ZengWileyClinical Case Reports2050-09042023-05-01115n/an/a10.1002/ccr3.7339New‐onset lung sarcoidosis, an adverse event by COVID‐19 or a sign of convalescence; a case reportSomayeh Sadeghi0Shadi Reisizadeh Mobarakeh1Mahnaz Momenzadeh2Amir Aria3Mitra Heidarpour4Somayeh Haji Ahmadi5Zohreh Naderi6Acquired Immunodeficiency Research Center, Al‐Zahra Hospital Isfahan University of Medical Sciences Isfahan IranDepartment of Internal Medicine, Alzahra Hospital Isfahan University of Medical Sciences Isfahan IranDepartment of Clinical Pharmacy and Pharmacy Practice Isfahan University of Medical Sciences Isfahan IranDepartment of Internal Medicine, Alzahra Hospital Isfahan University of Medical Sciences Isfahan IranDepartment of Pathology Isfahan University of Medical Sciences Isfahan IranDepartment of Radiology, School of Medicine Isfahan University of Medical Sciences Isfahan IranAcquired Immunodeficiency Research Center, Al‐Zahra Hospital Isfahan University of Medical Sciences Isfahan IranKey Clinical Message Sarcoidosis is a systemic inflammatory disease able to affect any organ within the body. Sarcoidosis may be the body's secondary response to COVID‐19 infection and a sign of rehabilitation. Early response to the treatments reinforces this hypothesis. The majority of sarcoidosis patients require immunosuppressive therapies, including corticosteroids. Abstract Most studies so far have focused on the management of COVID‐19 in patients suffering from sarcoidosis. Nevertheless, the current report aims to present a COVID‐19‐induced sarcoidosis case. Sarcoidosis is a systemic inflammatory disease with granulomas. Still, its etiology is unknown. It often affects the lungs and lymph nodes. A previously healthy 47‐year‐old female was referred with the following chief complaints: atypical chest pain, dry cough, and dyspnea on exertion within a month after COVID‐19 infection. Accordingly, a chest computed tomography revealed multiple conglomerated lymphadenopathies in the thoracic inlet, mediastinum, and hila. A core‐needle biopsy from the nodes revealed non‐necrotizing granulomatous inflammation, sarcoidal type. The sarcoidosis diagnosis was proposed and confirmed by a negative purified protein derivative (PPD) test. Accordingly, prednisolone was prescribed. All symptoms were relieved. A control lung HRCT was taken 6 months later, showing the lesions had disappeared. In conclusion, sarcoidosis may be the body's secondary response to COVID‐19 infection and a sign of disease convalescence.https://doi.org/10.1002/ccr3.7339COVID‐19dyspneagranulomalymphadenopathysarcoidosis
spellingShingle Somayeh Sadeghi
Shadi Reisizadeh Mobarakeh
Mahnaz Momenzadeh
Amir Aria
Mitra Heidarpour
Somayeh Haji Ahmadi
Zohreh Naderi
New‐onset lung sarcoidosis, an adverse event by COVID‐19 or a sign of convalescence; a case report
Clinical Case Reports
COVID‐19
dyspnea
granuloma
lymphadenopathy
sarcoidosis
title New‐onset lung sarcoidosis, an adverse event by COVID‐19 or a sign of convalescence; a case report
title_full New‐onset lung sarcoidosis, an adverse event by COVID‐19 or a sign of convalescence; a case report
title_fullStr New‐onset lung sarcoidosis, an adverse event by COVID‐19 or a sign of convalescence; a case report
title_full_unstemmed New‐onset lung sarcoidosis, an adverse event by COVID‐19 or a sign of convalescence; a case report
title_short New‐onset lung sarcoidosis, an adverse event by COVID‐19 or a sign of convalescence; a case report
title_sort new onset lung sarcoidosis an adverse event by covid 19 or a sign of convalescence a case report
topic COVID‐19
dyspnea
granuloma
lymphadenopathy
sarcoidosis
url https://doi.org/10.1002/ccr3.7339
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