title: Multiple pulmonary micronodules in a patient with Crohn's disease.
abstract: Sarcoidosis is a terrific mimicker and can present in many different ways. The case of a middle-aged woman with Crohn's disease who attended the gastroenterology clinic for routine follow-up is presented. She had dry cough and breathlessness for a few weeks. A chest x-ray showed scattered multiple bilateral pulmonary micronodules. This finding on her chest x-ray posed a diagnostic challenge, especially in view of the fact that she was previously treated with immunosuppressants to control her Crohn's disease. A diagnosis of sarcoidosis was established by various tests including lung biopsy, which showed non-caseating granulomas. Within a few weeks of beginning systemic steroid treatment, improvement was noticed in symptoms and lung function tests.
authors: Department of Respiratory Medicine, Llandough University Hospital, Penarth, UK. ali.abbas@doctors.org.uk
authors: S A
authors: SA
authors: Abbas
authors: Y I
authors: YI
authors: Syed
authors: A
authors: A
authors: Dushianthan
authors: S
authors: S
authors: Barry
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001707:Biopsy, Needle; D003424:Crohn Disease / Q000150:complications / Q000175:diagnosis*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D008875:Middle Aged; D013902:Radiography, Thoracic / Q000379:methods; D018570:Risk Assessment; D017565:Sarcoidosis, Pulmonary / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
chemical_list: D000305:Adrenal Cortex Hormones