2021
DOI: 10.1186/s13256-021-02797-3
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Sarcoidosis with marked necrosis in enlarged lymph nodes mimics mycobacterial infection: a case report

Abstract: Background Sarcoidosis is pathologically characterized by the formation of non-necrotizing epithelioid cell granulomas. However, pathological findings of patients with sarcoidosis have rarely revealed necrosis. We report here on a patient with sarcoidosis which needed to be distinguished from infectious disease because of marked necrosis in the lymph nodes. Case presentation A 46-year-old Japanese woman was referred to our hospital due to a dry cou… Show more

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Cited by 5 publications
(3 citation statements)
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“…Another atypicality of this case is the histologic presence of granulomas with marked central necrosis. Reports estimate a ratio of necrosis in sarcoid granulomas of 6%–35%, mostly in small and spotty amounts 18. In only a rare number of cases does sarcoidosis present with marked or confluent areas of necrosis 18…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Another atypicality of this case is the histologic presence of granulomas with marked central necrosis. Reports estimate a ratio of necrosis in sarcoid granulomas of 6%–35%, mostly in small and spotty amounts 18. In only a rare number of cases does sarcoidosis present with marked or confluent areas of necrosis 18…”
Section: Discussionmentioning
confidence: 99%
“…Reports estimate a ratio of necrosis in sarcoid granulomas of 6%–35%, mostly in small and spotty amounts 18. In only a rare number of cases does sarcoidosis present with marked or confluent areas of necrosis 18…”
Section: Discussionmentioning
confidence: 99%
“…Negative results were obtained from evaluation of lymph node tissue by PCR and by culture for M tuberculosis. Treatment with corticosteroids showed a reduction in mediastinal lymph node size [67] .…”
Section: Areas Of Uncertaintymentioning
confidence: 97%