Sarcoidosis

[Guest]

I recently diagnosed sarcoidosis I am still not convinced I have disease. It all started severe pain in my abdomen, shortness of breath weight loss.y did a sonogram of my abdomen found several swollen lymph nodes around pancrease liver. n did a biopsy of lymph nodes it came back as noncaseating granulomas. During time my blood work showed high AST SGOT sed rate.I am now on predisone 40 mg I still have pain in my abdomen although recent ct scan shows nothing at time. Could be sarcoidosis or something else?

[Guest]

Sarcoidosis is a diagnosis of exclusion, so it is alway hard to say that it cannot be due to other things. The most common other entity with noncaseating granulomas are fungal infections. The fact that the lymphnodes resolved on steroids strenthens that this was due to sarcoidosis. Fungal infections will often have fungus seen on the biopsy, and certainly don't resolve with steroids. Other rarer causes of granulomas such as other infections are much less likely as well. Lymphnodes in the abdomen raise the concern for tumor but that is one of the main reasons they are biopsied. With resolution of the nodes and I assume AST and sed rate elevation (although you did not comment on this) but with the persistence of abdominal pain suggests they might not be related. But really it is impossible to say with the information I have.