Asymptomatic Pulmonary Sarcoidosis With Hypothyroidism: A Case Report

Abstract

Sarcoidosis is a granulomatous lesion affecting multi organs, mainly the lungs, kidney, skin, lymph nodes etc. occurring mainly in African American blacks and Nordics. A 45 year old female presented with progressively increasing generalised skin eruption, fatigue and joint pains. Further work up of the patient reveals Hypothyroidism, Rheumatoid factor positive and Lipid profile showed isolated hypertriglyceridemia. CXR-PAV showed bilateral hilar lymphadenopathy. Calcium profile was normal. Bone marrow examination for anemia showed non-caseating well formed epithelioid granuloma strongly suggestive of Sarcoidosis. High ACE level of 114 clinched the diagnosis for Sarcoidosis. The patient responded to steroid and is on remission.