title: Necrotizing granulomatous cervical lymphadenitis associated with B lymphocyte abnormalities and a positive PPD reaction.
abstract: Sarcoidosis is a diagnosis often made by exclusion. We present a case of what we believe is sarcoidosis presenting as cervical lymphadenopathy. Complicating issues in this patient included B lymphocyte abnormalities, and a positive PPD reaction. The patient continues to be steroid dependent. This case illustrates the difficulties in diagnosis and management of sarcoidosis.
authors.affiliation: Department of Internal Medicine, Marshfield Clinic, WI, USA.
authors.forename: C E
authors.initials: CE
authors.lastname: Wirtz
authors.forename: K D
authors.initials: KD
authors.lastname: Reed
mesh_terms: D001402:B-Lymphocytes / Q000473:pathology*; D001707:Biopsy, Needle; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008199:Lymphadenitis / Q000175:diagnosis* / Q000473:pathology; D008875:Middle Aged; D009336:Necrosis; D012507:Sarcoidosis / Q000175:diagnosis* / Q000473:pathology; D014374:Tuberculin Test; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis / Q000473:pathology