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Boletín médico del Hospital Infantil de México

versión impresa ISSN 1665-1146

Resumen

ZAMORA-CHAVEZ, Antonio et al. Sarcoidosis in childhood. A rare systemic disease. Bol. Med. Hosp. Infant. Mex. [online]. 2016, vol.73, n.2, pp.117-128. ISSN 1665-1146.  http://dx.doi.org/10.1016/j.bmhimx.2016.02.003.

Background:

Sarcoidosis is a systemic disease of unknown etiology that rarely occurs in children. It usually affects the lungs, however, it may involve various organs. It occasionally affects the general condition, and causes fever, hepatomegaly and splenomegaly.

Case report:

We report the case of a twelve-year-old adolescent with late-onset childhood sarcoidosis which diagnosis was confirmed by lymph node histopathological study. The patient presented general condition, hypercalcemia, erythema nodosum, severe lung disorders, lymphadenopathy, hepatomegaly and testicular mass. He received treatment with steroids, with excellent clinical response.

Conclusions:

We highlight the importance of considering the diagnosis of sarcoidosis in patients with hepatomegaly, lymphadenopathy, diffuse lung damage, erythema nodosum, testicular mass and hypercalcemia, as well as the need for a multidisciplinary approach to assess multiple organ involvement and the early beginning of steroid treatment in order to prevent the progression of the disease.

Palabras llave : Childhood sarcoidosis; Multiorgan involvement; Hypercalcemia.

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