Endometrial sarcoidosis as a cause of postmenopausal bleeding. A case report.
BACKGROUND
Sarcoidosis is a multisystem disease that rarely affects the female genital tract. It has been found the endometrium but has never been reported as a cause of postmenopausal bleeding.


METHODS
A 53-year-old, postmenopausal women presented complaining of a single, five-day episode of vaginal bleeding. An endometrial biopsy revealed many noncaseating granulomas with sarcoid-type asteroid bodies. The remainder of the work-up was negative, and the symptoms spontaneously resolved.


CONCLUSIONS
Sarcoidosis can present as a focal disease and should be considered in the differential diagnosis of granulomatous disease of the endometrium.
Pearce
K F
KF
Department of Obstetrics and Gynecology, Louisiana State University Medical Center, New Orleans, USA.
Nolan
T E
TE
D003937:Diagnosis, Differential; D004717:Endometrium / Q000473:pathology; D005260:Female; D006099:Granuloma / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D017698:Postmenopause; D012507:Sarcoidosis / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D014591:Uterine Diseases / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D014592:Uterine Hemorrhage / Q000209:etiology*