Sarcoidosis with an uncommon presentation: apropos of a case.
A 17-year-old male presenting with chronic renal failure whose supporting clinical manifestations of the disease had appeared independently over a four-year period is reported. The renal biopsy specimen of the patient revealed tubulointerstitial nephritis and membranous glomerulonephritis. He never had hilar adenopathy, but maculopapular rashes, erythema nodosum, arthritis, chronic lymphocytopenia, hepatomegaly, splenomegaly, and lymphadenomegaly had been observed at different periods over four years. The presence of non-caseating granulomatous lesions in the liver biopsy accompanying uveitis verified the diagnosis of sarcoidosis. Low dose steroid was applied to this hepatitis-C carrier, and uveitis was suppressed. No recurrence has been observed in two-year follow-up.
Soylu
Alper
A
Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, Izmir, Turkey.
Türkmen
Mehmet
M
Kasap
Belde
B
Sarioğlu
Sülen
S
Saatçi
Ali Osman
AO
Büyükgebiz
Benal
B
Kavukçu
Salih
S
D000293:Adolescent; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000473:pathology*; D007676:Kidney Failure, Chronic / Q000209:etiology*; D008099:Liver / Q000503:physiopathology; D008297:Male; D009393:Nephritis / Q000150:complications; D012507:Sarcoidosis / Q000150:complications*; D013997:Time Factors; D016896:Treatment Outcome