title: Paralysis and a perihilar protuberance: an unusual presentation of sarcoidosis in a child.
abstract: Sarcoidosis in children can present with extra-pulmonary manifestations, making diagnosis difficult. We describe a case of sarcoidosis in a child, presenting as a Guillain-Barré-like illness with the incidental finding of a perihilar mass. We also report the first successful use of the minimally invasive technique of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA) to delineate the cause of hilar lymphadenopathy in a child.
authors.affiliation: Department of Respiratory Medicine, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia. daniellewurzel@netspace.net.au
authors.forename: Danielle F
authors.initials: DF
authors.lastname: Wurzel
authors.forename: Daniel P
authors.initials: DP
authors.lastname: Steinfort
authors.forename: John
authors.initials: J
authors.lastname: Massie
authors.forename: Monique M
authors.initials: MM
authors.lastname: Ryan
authors.forename: Louis B
authors.initials: LB
authors.lastname: Irving
authors.forename: Sarath C
authors.initials: SC
authors.lastname: Ranganathan
mesh_terms: D000293:Adolescent; D001707:Biopsy, Needle / Q000379:methods; D001999:Bronchoscopy / Q000379:methods; D003937:Diagnosis, Differential; D019160:Endosonography / Q000379:methods; D005938:Glucocorticoids / Q000627:therapeutic use; D020275:Guillain-Barre Syndrome / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D008482:Mediastinum / Q000000981:diagnostic imaging / Q000473:pathology; D049268:Positron-Emission Tomography; D012507:Sarcoidosis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
chemical_list: D005938:Glucocorticoids