Sarcoidosis – Review of the literature in the context of an atypical presentation
We present a 63-year-old female, who was referred for an internal medicine consultation due to an orbital mass accompanied by fatigue. After a wide investigation, encompassing the exclusion of infectious and malignant aetiologies, a diagnosis of sarcoidosis was assumed. However, despite this compre...
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| Format: | Article |
| Language: | English |
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Sociedade Galega de Medicina Interna
2025-07-01
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| Series: | Galicia Clínica |
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| Online Access: | https://galiciaclinica.info/gc/article/view/1303 |
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| author | Carolina Gonçalves Marta Ferreira Ana Grilo |
| author_facet | Carolina Gonçalves Marta Ferreira Ana Grilo |
| author_sort | Carolina Gonçalves |
| collection | DOAJ |
| description |
We present a 63-year-old female, who was referred for an internal medicine consultation due to an orbital mass accompanied by fatigue. After a wide investigation, encompassing the exclusion of infectious and malignant aetiologies, a diagnosis of sarcoidosis was assumed. However, despite this comprehensive evaluation and the initiation of immunosuppressive therapy, we observed a progression of the disease, with an extension of the orbital mass and persistent fatigue, along with multiorgan involvement.
Therefore, this is a sarcoidosis case with an atypical manifestation and progression, rarely reported in literature. We pretend that it serves as a model of the challenges posed by this disease, explaining the various diagnosis hypotheses that we considered and the rationale behind their exclusion.
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| format | Article |
| id | doaj-art-7afb82eefd664778a55728032f78cfd4 |
| institution | DOAJ |
| issn | 0304-4866 1989-3922 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Sociedade Galega de Medicina Interna |
| record_format | Article |
| series | Galicia Clínica |
| spelling | doaj-art-7afb82eefd664778a55728032f78cfd42025-08-20T02:41:23ZengSociedade Galega de Medicina InternaGalicia Clínica0304-48661989-39222025-07-0186210.22546/86/2/1303Sarcoidosis – Review of the literature in the context of an atypical presentationCarolina Gonçalves0Marta Ferreira1Ana Grilo2Faculdade de Medicina da Universidade de LisboaInternal Medicine Department, Hospital Beatriz ÂngeloInternal Medicine Department, Hospital Beatriz Ângelo We present a 63-year-old female, who was referred for an internal medicine consultation due to an orbital mass accompanied by fatigue. After a wide investigation, encompassing the exclusion of infectious and malignant aetiologies, a diagnosis of sarcoidosis was assumed. However, despite this comprehensive evaluation and the initiation of immunosuppressive therapy, we observed a progression of the disease, with an extension of the orbital mass and persistent fatigue, along with multiorgan involvement. Therefore, this is a sarcoidosis case with an atypical manifestation and progression, rarely reported in literature. We pretend that it serves as a model of the challenges posed by this disease, explaining the various diagnosis hypotheses that we considered and the rationale behind their exclusion. https://galiciaclinica.info/gc/article/view/1303Granulomatous disease Multisystemic disease Ocular sarcoidosis Atypical manifestation Chronic sarcoidosis course |
| spellingShingle | Carolina Gonçalves Marta Ferreira Ana Grilo Sarcoidosis – Review of the literature in the context of an atypical presentation Galicia Clínica Granulomatous disease Multisystemic disease Ocular sarcoidosis Atypical manifestation Chronic sarcoidosis course |
| title | Sarcoidosis – Review of the literature in the context of an atypical presentation |
| title_full | Sarcoidosis – Review of the literature in the context of an atypical presentation |
| title_fullStr | Sarcoidosis – Review of the literature in the context of an atypical presentation |
| title_full_unstemmed | Sarcoidosis – Review of the literature in the context of an atypical presentation |
| title_short | Sarcoidosis – Review of the literature in the context of an atypical presentation |
| title_sort | sarcoidosis review of the literature in the context of an atypical presentation |
| topic | Granulomatous disease Multisystemic disease Ocular sarcoidosis Atypical manifestation Chronic sarcoidosis course |
| url | https://galiciaclinica.info/gc/article/view/1303 |
| work_keys_str_mv | AT carolinagoncalves sarcoidosisreviewoftheliteratureinthecontextofanatypicalpresentation AT martaferreira sarcoidosisreviewoftheliteratureinthecontextofanatypicalpresentation AT anagrilo sarcoidosisreviewoftheliteratureinthecontextofanatypicalpresentation |