[Monolateral adenopathy of the axilla due to sarcoid-type granulomata: idiopathic granulomatous disease or sarcoidosis? A case report].
The presence of sarcoid-type granulomata in peripheral lymph nodes, with no evidence of other typical lesions, doesn't allow to diagnose sarcoidosis. In fact, sarcoidosis is a systemic disease and two or more organs must be affected to reach a definitive diagnosis. However this involvement could happen even several years later, thus making a correct diagnosis really difficult. In the absence of other organ involvement, an "idiopathic granulomatous disease" of peripheral lymph nodes is identified. Patients must anyway undergo a careful, long-term follow-up in order to detect clinical or radiologic variations that may confirm a diagnosis of sarcoidosis. After presenting a case-report of monolateral adenopathy of the axilla as an idiopathic granulomatous disease, the Authors review the international literature about sarcoidosis and its extra-pulmonar presentation, underlining the importance of considering sarcoidosis among possible diagnosis when peripheral adenopathies occur.
Università degli Studi di Roma La Sapienza, Dipartimento di Chirurgia P. Valdoni.
L
L
Izzo
P
P
Di Cello
P
P
Meloni
M
M
Caputo
P
P
Izzo
U
U
Costi
G
G
De Toma
L
L
Basso
A
A
Bolognese
D
D
Pietrasanta
D001365:Axilla; D003937:Diagnosis, Differential; D005260:Female; D006099:Granuloma / Q000175:diagnosis*; D006801:Humans; D008206:Lymphatic Diseases / Q000175:diagnosis*; D008875:Middle Aged; D012507:Sarcoidosis / Q000175:diagnosis*
Linfoadenopatie ascellari monolaterali da granulomi di tipo sarcoidosico: malattia granulomatosa idiopatica o sarcoidosi? Caso clinico.