Multiorgan sarcoidosis as a diabetes insipidus mask
Sarcoidosis is an inflammatory, multisystem disease with an undetermined etiology. The presence of noncaseating granulomas in involved organs is a characteristic pathomorphological feature. Sarcoidosis, like a chameleon, can mimic different medical conditions. Although the lungs are most commonly in...
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Format: | Article |
Language: | English |
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Bioscientifica
2022-11-01
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Series: | Endocrinology, Diabetes & Metabolism Case Reports |
Online Access: | https://edm.bioscientifica.com/view/journals/edm/2022/1/EDM22-0266.xml |
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author | Katarzyna Guziejko Łukasz Minarowski Agata Piłaszewicz-Puza Anna Szumera-Ciećkiewicz Robert Marek Mróz |
author_facet | Katarzyna Guziejko Łukasz Minarowski Agata Piłaszewicz-Puza Anna Szumera-Ciećkiewicz Robert Marek Mróz |
author_sort | Katarzyna Guziejko |
collection | DOAJ |
description | Sarcoidosis is an inflammatory, multisystem disease with an undetermined etiology. The presence of noncaseating granulomas in involved organs is a characteristic pathomorphological feature. Sarcoidosis, like a chameleon, can mimic different medical conditions. Although the lungs are most commonly involved, extrapulmonary manifestations can influence any system. The clinical course of the disease may differ. Immediate initiation of glucocorticosteroid therapy is important when critical organs are impaired. A case of a patient with sarcoidosis whose first clinical symptoms were related to diabetes insipidus (DI) was presented. The diagnosis of multiple organ sarcoidosis was delayed because of an adequate response to treatment with vasopressin. The multidisciplinary diagnostic approach validated the involvement of the pituitary gland, lungs, lymph nodes, bones, and subcutaneous tissue. The presented case emphasizes the critical importance of the multifaceted differential diagnosis of patients with DI. |
first_indexed | 2024-04-11T06:41:55Z |
format | Article |
id | doaj.art-d6b1502a02fb468880330cc38f363cab |
institution | Directory Open Access Journal |
issn | 2052-0573 |
language | English |
last_indexed | 2024-04-11T06:41:55Z |
publishDate | 2022-11-01 |
publisher | Bioscientifica |
record_format | Article |
series | Endocrinology, Diabetes & Metabolism Case Reports |
spelling | doaj.art-d6b1502a02fb468880330cc38f363cab2022-12-22T04:39:30ZengBioscientificaEndocrinology, Diabetes & Metabolism Case Reports2052-05732022-11-01111710.1530/EDM-22-0266Multiorgan sarcoidosis as a diabetes insipidus maskKatarzyna Guziejko0Łukasz Minarowski1Agata Piłaszewicz-Puza2Anna Szumera-Ciećkiewicz3Robert Marek Mróz42nd Department of Lung Diseases and Tuberculosis2nd Department of Lung Diseases and TuberculosisDepartment of Medical Pathomorphology, Medical University of Bialystok, Bialystok, PolandDepartment of Pathology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland2nd Department of Lung Diseases and TuberculosisSarcoidosis is an inflammatory, multisystem disease with an undetermined etiology. The presence of noncaseating granulomas in involved organs is a characteristic pathomorphological feature. Sarcoidosis, like a chameleon, can mimic different medical conditions. Although the lungs are most commonly involved, extrapulmonary manifestations can influence any system. The clinical course of the disease may differ. Immediate initiation of glucocorticosteroid therapy is important when critical organs are impaired. A case of a patient with sarcoidosis whose first clinical symptoms were related to diabetes insipidus (DI) was presented. The diagnosis of multiple organ sarcoidosis was delayed because of an adequate response to treatment with vasopressin. The multidisciplinary diagnostic approach validated the involvement of the pituitary gland, lungs, lymph nodes, bones, and subcutaneous tissue. The presented case emphasizes the critical importance of the multifaceted differential diagnosis of patients with DI.https://edm.bioscientifica.com/view/journals/edm/2022/1/EDM22-0266.xml |
spellingShingle | Katarzyna Guziejko Łukasz Minarowski Agata Piłaszewicz-Puza Anna Szumera-Ciećkiewicz Robert Marek Mróz Multiorgan sarcoidosis as a diabetes insipidus mask Endocrinology, Diabetes & Metabolism Case Reports |
title | Multiorgan sarcoidosis as a diabetes insipidus mask |
title_full | Multiorgan sarcoidosis as a diabetes insipidus mask |
title_fullStr | Multiorgan sarcoidosis as a diabetes insipidus mask |
title_full_unstemmed | Multiorgan sarcoidosis as a diabetes insipidus mask |
title_short | Multiorgan sarcoidosis as a diabetes insipidus mask |
title_sort | multiorgan sarcoidosis as a diabetes insipidus mask |
url | https://edm.bioscientifica.com/view/journals/edm/2022/1/EDM22-0266.xml |
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