Case reports in medicine · 2025
Challenges in Diagnosing Necrotizing Sarcoid Granulomatosis: The First Case Reported From Indonesia.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Singh Gurmeet, Karsono Ramadhan, Sjamsoe Soedarman, Triono Muhammad Rizki, Nora Rina La Distia, Felicia Devi, Gultom Fajar Lamhot, Ruslim Daniel, Sejati Arif, Gunarsa Ralph Girson, Pitoyo Ceva Wicaksono, Rumende Cleopas Martin
Аннотация
Necrotizing sarcoid granulomatosis (NSG) is a rare disease characterized by granulomatous and necrotic features as well as vasculitis, and it primarily affects the lungs, with occasional extrapulmonary manifestations. The first documented case was in Jakarta, Indonesia. A 71-year-old male presented with prolonged fever, a neck mass, and multiple mediastinal lymphadenopathy. The disease was initially suspected as lung tuberculosis, but a surgical biopsy of the left thyroid lobe confirmed the NSG pattern. Treatment with oral prednisolone led to positive outcomes, as evidenced by radiological improvement at the 3-month follow-up. This case report aims to emphasize the challenges and the importance of clinician awareness in diagnosing NSG.