Exertional Dyspnea Incidentally Diagnosed as Sarcoidosis: A Teaching Hospital Experience

Background. Sarcoidosis is a complex disease with nonspecific etiology and clinical presentation. Its diagnosis is often delayed due to the absence of a single specific investigation modality. A multidisciplinary approach is necessary for its diagnosis. Report. A 49-year-old male presented with recu...

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Main Authors: Melvina Nartey, Kofi Ulzen-Appiah
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2023/8689352
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author Melvina Nartey
Kofi Ulzen-Appiah
author_facet Melvina Nartey
Kofi Ulzen-Appiah
author_sort Melvina Nartey
collection DOAJ
description Background. Sarcoidosis is a complex disease with nonspecific etiology and clinical presentation. Its diagnosis is often delayed due to the absence of a single specific investigation modality. A multidisciplinary approach is necessary for its diagnosis. Report. A 49-year-old male presented with recurrent dyspnea on exertion, easy fatigue, and chest pain after several visits to different health facilities over 5 months. A diagnosis of pulmonary sarcoidosis was made after a series of laboratory and imaging investigations were done revealing bilateral reticonodular opacifications, noncaseating granulomata, elevated serum ACE and calcium levels consistent with sarcoidosis. Conclusion. Sarcoidosis, although a rare presentation in our setting, may easily be overlooked or misdiagnosed if a holistic or multidisciplinary approach is not employed in its diagnosis. Nonspecificity of symptoms contributes to the delayed diagnosis.
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spelling doaj-art-067dc70ff9064378ab552119dd8183312025-02-03T06:47:40ZengWileyCase Reports in Pulmonology2090-68542023-01-01202310.1155/2023/8689352Exertional Dyspnea Incidentally Diagnosed as Sarcoidosis: A Teaching Hospital ExperienceMelvina Nartey0Kofi Ulzen-Appiah1Department of PathologyDepartment of PathologyBackground. Sarcoidosis is a complex disease with nonspecific etiology and clinical presentation. Its diagnosis is often delayed due to the absence of a single specific investigation modality. A multidisciplinary approach is necessary for its diagnosis. Report. A 49-year-old male presented with recurrent dyspnea on exertion, easy fatigue, and chest pain after several visits to different health facilities over 5 months. A diagnosis of pulmonary sarcoidosis was made after a series of laboratory and imaging investigations were done revealing bilateral reticonodular opacifications, noncaseating granulomata, elevated serum ACE and calcium levels consistent with sarcoidosis. Conclusion. Sarcoidosis, although a rare presentation in our setting, may easily be overlooked or misdiagnosed if a holistic or multidisciplinary approach is not employed in its diagnosis. Nonspecificity of symptoms contributes to the delayed diagnosis.http://dx.doi.org/10.1155/2023/8689352
spellingShingle Melvina Nartey
Kofi Ulzen-Appiah
Exertional Dyspnea Incidentally Diagnosed as Sarcoidosis: A Teaching Hospital Experience
Case Reports in Pulmonology
title Exertional Dyspnea Incidentally Diagnosed as Sarcoidosis: A Teaching Hospital Experience
title_full Exertional Dyspnea Incidentally Diagnosed as Sarcoidosis: A Teaching Hospital Experience
title_fullStr Exertional Dyspnea Incidentally Diagnosed as Sarcoidosis: A Teaching Hospital Experience
title_full_unstemmed Exertional Dyspnea Incidentally Diagnosed as Sarcoidosis: A Teaching Hospital Experience
title_short Exertional Dyspnea Incidentally Diagnosed as Sarcoidosis: A Teaching Hospital Experience
title_sort exertional dyspnea incidentally diagnosed as sarcoidosis a teaching hospital experience
url http://dx.doi.org/10.1155/2023/8689352
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