A case of non-resolving cough and weight loss. | [Journal of Pakistan Medical Association • 2005]

Author(s):

1. Omer Ashraf: Section of Pulmonary and Critical Care, The Aga Khan University, Karachi, Pakistan

2. Fawad Aslam: Section of Pulmonary and Critical Care, The Aga Khan University, Karachi, Pakistan

3. Ali Bin Sarwar Zubairi: Departments of Medicine, The Aga Khan University, Karachi, Pakistan

4. Kashif Ashraf: Radiology, The Aga Khan University, Karachi, Pakistan

5. Suhail Muzaffar: Pathology and Microbiology, The Aga Khan University, Karachi, Pakistan

Abstract:

Sarcoidosis is a chronic granulomatous multi-system disease with a clinical picture often mimicking tuberculosis. We present a case of a patient who presented with a clinical picture akin to both of these granulomatous disorders and was started on anti-tuberculous regimen despite the lack of any solid evidence pointing towards tuberculosis. As a result her clinical condition continued to deteriorate for months until finally a bronchoscopic biopsy established her disease process as sarcoidosis. She was then started on systemic corticosteroid therapy for sarcoidosis and during the ensuing period has shown marked improvement in her clinical picture with near normalization of the biochemical and radiographic parameters of her pathology. This case illustrates the need for vigilant interpretation of the clinical scenario in patients such as these where a misdiagnosis may lead to significant patient distress as well as weighing down on the economic and health resources.

Page(s): 127-130

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 55, Issue: 3, Year: 2005

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