Posts Tagged ‘sarcoidosis’

Adalimumab in Patients with Active Non-Infectious Uveitis

Posted by • September 8th, 2016

A 44-year-old woman with type 2 diabetes mellitus and sarcoidosis presents with a 3-week history of severe visual disturbance in both eyes. After referral to an ophthalmologist, she is diagnosed with idiopathic posterior uveitis. Her symptoms improved while receiving oral steroids over the course of 5 months. However, after completing steroid treatment, her glycemic control… Read More…

A Man with Olfactory Hallucinations

Posted by • May 20th, 2016

Involvement of the nervous system is reported in 5 to 15% of patients with sarcoidosis, although autopsy series indicate that the frequency of lesions in the nervous system may be higher. A 32-year-old man presented with a 1-year history of olfactory hallucinations and a 6-week history of intermittent numbness and paresthesias on the left side. MRI revealed… Read More…

39-Year-Old Man with Night Sweats and Abdominal Pain

Posted by • January 31st, 2014

In the latest Case Record of the Massachusetts General Hospital, a 39-year-old man with a history of psoriasis was admitted to the hospital because of night sweats and abdominal pain. Imaging studies showed numerous ill-defined, hypoattenuating lesions in the spleen and mediastinal and hilar lymphadenopathy. Gastrointestinal manifestations of sarcoidosis primarily involve the stomach, and patients can… Read More…

Waiting for the Other Foot to Drop

Posted by • June 7th, 2013

In the latest article in our Clinical Practice series, a  65-year-old man presented with a 4-month history of fevers, sweats, fatigue, and weakness. He also reported that pain in his feet and calves was sufficiently distracting that he could not enjoy reading. Mononeuropathy multiplex is typically is manifested by findings in several focal, noncontiguous nerve distributions…. Read More…