[Granulomatous arteritis through sarcoidosis].
BACKGROUND
Digestive localisation of sarcoidosis is rare.


METHODS
A 35 year-old man presented with sarcoidosis revealed by a mediastinal hilum lymphadenopathy 13 years earlier. Epigastric pain led to oeso-gastroduodenal fibroscopy and biopsies, showing inflammatory mucosa and numerous giant-cell epithelioid granulomas, without concomitant necrosis or fibrosis.


CONCLUSIONS
The clinical manifestations and endoscopic profile of gastric localisations of sarcoidosis are not specific. Diagnosis relies on several elements: presence of epithelioid granulomas without necrosis, history of sarcoidosis or the simultaneous existence of other localisations, evocative biological signs and the absence of elements evoking any other diagnosis. Treatment relies on corticosteroid therapy and sometimes requires endoscopic or surgical management.
Corrieri-Baizeau
C
C
Service hépato-gastro-entérologie, Hôpital Cochin, 27 rue du faubourg St Jacques, F75679 Paris.
Cahen
R
R
Nancey
S
S
Isaac
S
S
Claudel-Bonvoisin
S
S
Trolliet
P
P
Flourié
B
B
Descos
L
L
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D003937:Diagnosis, Differential; D004724:Endoscopy; D006801:Humans; D007249:Inflammation; D007413:Intestinal Mucosa / Q000473:pathology; D008297:Male; D010146:Pain / Q000209:etiology; D012507:Sarcoidosis / Q000150:complications*; D020293:Vasculitis, Central Nervous System / Q000175:diagnosis / Q000209:etiology / Q000473:pathology*
D000305:Adrenal Cortex Hormones