Granulomatous gastritis as a diagnostic problem between sarcoidosis and other granulomatous disorders.
A 59-year-old man, who suffered from achlorhydria and epigastric pains but was otherwise asymptomatic, was found to have a granulomatous lesion on the gastric mucosa suggesting sarcoidosis or a localized form of Crohn's disease. No sign of involvement of terminal ileum or rectum was detected. A liver biopsy specimen showed slight changes suggestive of granulomatous inflammation, but other signs of generalized sarcoid manifestations were absent. The patient was successfully treated with corticosteroids.
Tukiainen
H
H
Department of Pulmonary Diseases, Kuopio University Central Hospital, Siilinjärvi, Finland.
Vaara
J
J
Syrjänen
K
K
Terho
E O
EO
D003424:Crohn Disease / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005756:Gastritis / Q000175:diagnosis*; D006099:Granuloma / Q000175:diagnosis*; D006801:Humans; D007082:Ileum / Q000473:pathology; D008099:Liver / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012007:Rectum / Q000473:pathology; D012507:Sarcoidosis / Q000175:diagnosis*; D013270:Stomach / Q000473:pathology; D013272:Stomach Diseases / Q000175:diagnosis*