title: Prolonged generalized pruritus associated with selective elevation of IgA as the presenting symptoms of sarcoidosis.
abstract: OBJECTIVE
  The purpose of this case report is to describe the possible initial presentation of sarcoidosis as generalized prolonged pruritus.
  
  
  METHODS
  In a patient presenting with prolonged generalized pruritus who also had selective elevation of IgA, the diagnosis of sarcoidosis was confirmed by bilateral interstitial infiltrates on chest radiograph, elevated angiotensin-converting enzyme, and dermal granuloma on skin biopsy from a recent rash.
  
  
  CONCLUSIONS
  Sarcoidosis should be added to the list of diseases associated with prolonged pruritus and routine chest radiographs should be obtained in these patients.
authors.affiliation: Allergy and Clinical Immunology Unit, Meir General Hospital, Kfar Saba.
authors.forename: A
authors.initials: A
authors.lastname: Goldberg
authors.forename: A
authors.initials: A
authors.lastname: Lang
authors.forename: Y A
authors.initials: YA
authors.lastname: Mekori
mesh_terms: D006099:Granuloma / Q000150:complications / Q000175:diagnosis; D006801:Humans; D007070:Immunoglobulin A / Q000097:blood*; D008297:Male; D008875:Middle Aged; D007703:Peptidyl-Dipeptidase A / Q000097:blood; D011537:Pruritus / Q000209:etiology* / Q000276:immunology; D012507:Sarcoidosis / Q000150:complications / Q000175:diagnosis*; D012871:Skin Diseases / Q000150:complications / Q000175:diagnosis*
chemical_list: D007070:Immunoglobulin A; D007703:Peptidyl-Dipeptidase A