Miliary sarcoidosis with secondary Sjogren's syndrome.
We report a case of miliary sarcoidosis with secondary Sjogren's in a 45-year-old male who presented with symptoms of sicca syndrome in the form of dryness of eyes and mouth with parotid swelling. Computed tomography thorax showed mediastinal and hilar lymphadenopathy, bilateral miliary opacities in lung parenchyma. Whole body FDG PET/CT showed involvement of both parotids, liver, diffuse uptake in lungs, mediastinal and retroperitoneal lymph nodes. Patient is on treatment with prednisolone and has responded well.
Puneet
P
Kumar
M J
MJ
Jaco
A G
AG
Pandit
K
K
Shanmughanandan
Anurag
A
Jain
Rajeev
M
M
Ravina
D001706:Biopsy; D006801:Humans; D008107:Liver Diseases / Q000209:etiology; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010305:Parotid Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D049268:Positron-Emission Tomography; D012507:Sarcoidosis / Q000150:complications / Q000175:diagnosis; D017565:Sarcoidosis, Pulmonary / Q000150:complications* / Q000175:diagnosis; D012859:Sjogren's Syndrome / Q000209:etiology*; D014057:Tomography, X-Ray Computed