Gastric sarcoidosis: Rare revealing feature of systemic sarcoidosis

Sayhi, S.; Salah, Hamdi Mohamed; Mohamed, Gamal A.; Msekni, Issam; Boussetta, N.; Abid, R.; Nadia, Ben Abdelhafith; Ajili, F.; Louzir, Bassam

doi:10.1016/j.ajg.2020.02.001

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…19.5d). Other rare non-infectious causes of GG include tumorous conditions (adenocarcinoma and MALT lymphoma), vasculitides, eosinophilic granulomatosis, polyangiitis, drugs like cocaine, carbimazole and interferon, xanthogranulomatous gastritis, foreign body reactions to stomach contents within an ulcer repair zone or to surgical material (suture granuloma), crystalline drugs (antacids containing magnesium, aluminium and silicon), reaction to endogenous materials (mucin, lipid or crystalline material), Langerhans cell histiocytosis (more common in children) and chronic granulomatous disease (more common in childhood and adolescence) [61][62][63][64][65][66][67][68][69][70]. Clinically apparent gastritis is seen in 2 to 7 percent of CD patients, microscopic involvement may be seen in up to 75 percent of patients in a normal appearing mucosa endoscopically [60].…”

Section: Granulomatous Gastritismentioning

confidence: 99%

Uncommon Types of Gastritis and Gastropathies Including Anti-parietal Cell, GVHD, Reactive and Granulomatous Gastritis

Vaiphei

2021

Interpretation of Endoscopic Biopsy - Gastritis, Gastropathies and Beyond

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Section: Granulomatous Gastritismentioning

confidence: 99%

Uncommon Types of Gastritis and Gastropathies Including Anti-parietal Cell, GVHD, Reactive and Granulomatous Gastritis

Vaiphei

2021

Interpretation of Endoscopic Biopsy - Gastritis, Gastropathies and Beyond

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“…The most commonly involved organs are the lung, liver, and lymph nodes. Gastric involvement is reported in less than 1% of patients presenting with systemic sarcoidosis [ 1 ]. Hence, gastric sarcoidosis is a rare entity, and there are only a handful of well-documented histologic pieces of evidence of non-necrotizing granulomas consistent with gastrointestinal (GI) sarcoidosis [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Subhepatic Abscess Unmasking the Silent Gastric and Pulmonary Sarcoidosis

Basida¹,

Haider²,

Bapatla³

et al. 2021

Cureus

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Sarcoidosis is a non-necrotizing granulomatous disease of unknown etiology presenting with variable systemic manifestations. Lung involvement is the most common initial presentation of sarcoidosis. Rarely, patients can present with initial non-pulmonary symptoms. Asymptomatic gastric sarcoidosis is a difficult diagnosis as it is not only rare but also under-recognized in the majority of cases. Its treatment is exclusively recommended for symptomatic cases only. However, it is of extreme significance to have the asymptomatic patients follow up outpatient regularly to prevent any major complications. Here, we present an interesting case of a 54-year-old African American female patient with only abdominal pain symptoms attributed to a hepatic abscess. A diagnosis of gastric sarcoidosis was solely based on the presence of non-necrotizing granulomas on biopsy following esophagogastroduodenoscopy (EGD). Incidentally, she was also found to have pulmonary sarcoidosis based on imaging. Her abdominal symptoms improved with abscess drainage and so, she was never started on steroids. She was followed up outpatient for pulmonary function tests. The patient continues to do well without any specific treatment for sarcoidosis. This case demonstrates the variability of sarcoidosis and the significance of biopsy in gastric sarcoidosis.

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Gastric sarcoidosis: Rare revealing feature of systemic sarcoidosis

Cited by 2 publications

References 10 publications

Uncommon Types of Gastritis and Gastropathies Including Anti-parietal Cell, GVHD, Reactive and Granulomatous Gastritis

Uncommon Types of Gastritis and Gastropathies Including Anti-parietal Cell, GVHD, Reactive and Granulomatous Gastritis

Subhepatic Abscess Unmasking the Silent Gastric and Pulmonary Sarcoidosis

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