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Case Reports
. 2024;24(1):69-72.
doi: 10.24911/SJP.106-1681705847.

Rare manifestations of sarcoidosis in a young boy

Sarah Nalliannan  1 , Shyamala Jayamoorthy  1 , Mahesh Janarthanan  2
Affiliations
Case Reports

Rare manifestations of sarcoidosis in a young boy

Sarah Nalliannan et al. Sudan J Paediatr. 2024.

Abstract

Sarcoidosis is a chronic multisystem granulomatous disease of unknown etiology. It is rare in young children. A 9-year-old boy presented with failure to thrive, skin rashes, persistent fever, and respiratory symptoms since 5 years of age. Blood investigations done showed elevated serum calcium and angiotensin converting enzyme levels and biopsy of the rashes on the left shin revealed non-caseating granulomatous lesion. Computed tomography of chest revealed interstitial lung disease and examination of eyes showed bilateral uveitis. He also had sensorineural hearing impairment, nephrocalcinosis, and short stature. The patient was treated with oral steroids and mycophenolate mofetil. At follow up, there was improvement in his systemic features including rashes and arthritis. Early detection, diagnosis, and appropriate treatment of sarcoidosis are vital for disease control and to avoid morbidity.

Keywords: Sarcoidosis; nephrocalcinosis; non-caseating granulomas; sensorineural deafness; short stature.

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Conflict of interest statement

The authors declare that there is no conflict of interest regarding the publication of this article.

Figures

Figure 1.
Figure 1.
Height for age < 3rd centile.
Figure 2.
Figure 2.
Computed tomography (CT) Chest findings. Diffuse bilateral symmetrical ground glass changes in lungs.
Figure 3.
Figure 3.
Bilateral uveitis with chorioretinal scars and band keratopathy.
See this image and copyright information in PMC

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