Gastrointestinal sarcoidosis resembling Crohn's disease.
We describe a patient with disseminated sarcoidosis, who had granulomatous enterocolitis with radiological narrowing of the terminal ileum, and was presumed to have Crohn's disease. At autopsy, there were numerous sarcoid-like granulomata throughout the mucosa of the large and small bowel, but no transmural inflammation, lymphoid aggregates, or strictures, thus making Crohn's disease unlikely. It is proposed that a granulomatous enterocolitis resembling Crohn's disease can be a manifestation of disseminated sarcoidosis.
Bulger
K
K
Department of Gastroenterology, Mater Misericordiae Hospital, Dublin, Ireland.
O'Riordan
M
M
Purdy
S
S
O'Brien
M
M
Lennon
J
J
D003424:Crohn Disease / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D004760:Enterocolitis / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007079:Ileitis / Q000175:diagnosis / Q000473:pathology; D007413:Intestinal Mucosa / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012507:Sarcoidosis / Q000175:diagnosis* / Q000473:pathology