title: A patient with sarcoidosis who developed heterochronic involvements in different organs from initial organs during 7 years.
abstract: A 59-year-old woman, who was given a diagnosis of sarcoidosis by supraclavicular lymph node biopsy 5 years previously, was admitted for further examination following abnormal radiologic findings. Nodular pulmonary and abdominal lesions were observed by computed tomography, and liver biopsy was performed and showed epithelioid cell granulomas. She was asymptomatic and was followed up with no therapy. At 1 year follow-up, the pulmonary and abdominal lesions had nearly complete resolution. Nodular pulmonary and abdominal lesions in patients with sarcoidosis can mimic metastatic disease, lymphoma, and infection, and can reappear during disease activity. Therefore, differential diagnosis and continual follow-up are important.
authors.affiliation: Division of Pulmonary Medicine, Department of Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke city, Tochigi, Japan. Electronic address: cosmo_fumio@ybb.ne.jp.
authors.forename: Fumio
authors.initials: F
authors.lastname: Kurosaki
authors.affiliation: Division of Pulmonary Medicine, Department of Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke city, Tochigi, Japan. Electronic address: bando034@jichi.ac.jp.
authors.forename: Masashi
authors.initials: M
authors.lastname: Bando
authors.affiliation: Division of Pulmonary Medicine, Department of Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke city, Tochigi, Japan. Electronic address: mnakayama723@jichi.ac.jp.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Nakayama
authors.affiliation: Division of Pulmonary Medicine, Department of Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke city, Tochigi, Japan. Electronic address: naoko.m@jichi.ac.jp.
authors.forename: Naoko
authors.initials: N
authors.lastname: Mato
authors.affiliation: Division of Pulmonary Medicine, Department of Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke city, Tochigi, Japan. Electronic address: hyamasa@jichi.ac.jp.
authors.forename: Hideaki
authors.initials: H
authors.lastname: Yamasawa
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke city, Tochigi, Japan. Electronic address: heesan@jichi.ac.jp.
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Higashizawa
authors.affiliation: Division of Pathology, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke city, Tochigi, Japan. Electronic address: atanaka@jichi.ac.jp.
authors.forename: Akira
authors.initials: A
authors.lastname: Tanaka
authors.affiliation: Division of Pulmonary Medicine, Department of Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke city, Tochigi, Japan. Electronic address: sugiyuki@jichi.ac.jp.
authors.forename: Yukihiko
authors.initials: Y
authors.lastname: Sugiyama
mesh_terms: D003937:Diagnosis, Differential; D015622:Epithelioid Cells / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D006099:Granuloma / Q000473:pathology; D006801:Humans; D008099:Liver / Q000473:pathology; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D008198:Lymph Nodes / Q000473:pathology; D008206:Lymphatic Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D008875:Middle Aged; D011860:Radiography, Abdominal; D013902:Radiography, Thoracic; D012075:Remission, Spontaneous; D012507:Sarcoidosis / Q000000981:diagnostic imaging / Q000473:pathology*; D013158:Splenic Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D013997:Time Factors; D014057:Tomography, X-Ray Computed
keywords: Abdominal involvements; Mimic metastatic disease; Pulmonary nodules; Sarcoidosis