[Dyspnea, alopecia areata, protrusio bulbi. Which systemic disease is responsible?].
Sarcoidosis is a systemic disease of unknown etiology and highly variable clinical presentation that manifests most frequently in the hilus lymph nodes, skin and eyes. The present case is a 63-year-old woman who was admitted for investigation of progressive apnea. Numerous typical, but also rare, organic symptoms were assignable to a chronic form of sarcoidosis: epileptiform attacks and depression, as also cutaneous changes affecting the scalp, and long wrongly diagnosed granulomatous "tumour" in the left orbit. The correct diagnosis was established on the basis of bronchoscopy and a chest CT that revealed inflammatory fibrotic changes in the lungs, and the histological work-up of tissue biopsies obtained from the various cutaneous lesions.
Gütz
S
S
Robert-Koch-Klinik, Städtisches Klinikum St. Georg, Leipzig. sylvia.guetz@sanktgeorg.de
Gillissen
A
A
D000506:Alopecia Areata / Q000209:etiology*; D001999:Bronchoscopy; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D004417:Dyspnea / Q000209:etiology*; D005094:Exophthalmos / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012507:Sarcoidosis / Q000175:diagnosis*; D017565:Sarcoidosis, Pulmonary / Q000175:diagnosis*