» Articles » PMID: 34307411

Granulomatous Sarcoidosis Mimics

Overview
Specialty General Medicine
Date 2021 Jul 26
PMID 34307411
Citations 21
Authors
Affiliations
Soon will be listed here.
Abstract

Many granulomatous diseases can mimic sarcoidosis histologically and in terms of their clinical features. These mimics include infectious granulomatous diseases, granulomatous reactions to occupational and environmental exposures, granulomatous drug reactions, vasculitides and idiopathic granulomatous conditions. It is important to distinguish sarcoidosis from these mimics, as a misdiagnosis of these diseases may have serious consequences. This manuscript reviews numerous sarcoidosis mimics and describes features of these diseases that may allow them to be differentiated from sarcoidosis. Distinguishing features between sarcoidosis and its mimics requires a careful review of the medical history, symptoms, demographics, radiographic findings, histologic features, and additional laboratory data. Understanding the clinical characteristics of sarcoidosis and its mimics should lead to more accurate diagnoses and treatment of granulomatous disorders that should improve the care of these patients. As the diagnostic criteria of sarcoidosis are not standardized, it is possible that some of these sarcoidosis mimics may represent varied clinical presentations of sarcoidosis itself.

Citing Articles

A Perplexing Case Highlighting the Diagnostic Conundrum of Miliary Tuberculosis Mimicking Sarcoidosis and Progressing Into Hemophagocytic Lymphohistiocytosis.

Li W, Mann P, De La Hoz I, Constantakos A, Gordon D, Everett G Cureus. 2025; 17(2):e78636.

PMID: 40062127 PMC: 11890614. DOI: 10.7759/cureus.78636.


Rheumatic Manifestations of Sarcoidosis.

Day J, Hamann P Diagnostics (Basel). 2025; 14(24.

PMID: 39767202 PMC: 11675675. DOI: 10.3390/diagnostics14242842.


A case of pulmonary co-infection with and Mucorales in a patient with sarcoidosis.

Sagawa T, Ohno S, Urata Y, Takemura T, Niki M, Kaneko Y Respir Med Case Rep. 2024; 52:102130.

PMID: 39524120 PMC: 11549992. DOI: 10.1016/j.rmcr.2024.102130.


Computed Tomography of Contemporary Occupational Lung Disease: A Pictorial Review.

Lee J, Bambrick M, Lau A, Tarlo S, McInnis M Diagnostics (Basel). 2024; 14(16).

PMID: 39202274 PMC: 11353255. DOI: 10.3390/diagnostics14161786.


Multisystemic Beryllium Disease: An Exceptional Case Revealed by a Urinary Tract Granulomatosis.

Jacobs L, Taghavi M, Fallas J, Geers C, Libertalis M, Smet J Int J Mol Sci. 2024; 25(15).

PMID: 39125734 PMC: 11311393. DOI: 10.3390/ijms25158166.


References
1.
Oconnell M, Schimpff S, Kirschner R, Abt A, Wiernik P . Epithelioid granulomas in Hodgkin disease. A favorable prognostic sign?. JAMA. 1975; 233(8):886-9. View

2.
Kalkanis A, Judson M . Distinguishing asthma from sarcoidosis: an approach to a problem that is not always solvable. J Asthma. 2012; 50(1):1-6. DOI: 10.3109/02770903.2012.747204. View

3.
Nascimento C, Delanina W, Soares C . Paracoccidioidomycosis: sarcoid-like form in childhood. An Bras Dermatol. 2012; 87(3):486-7. DOI: 10.1590/s0365-05962012000300025. View

4.
Wheat L, French M, Wass J . Sarcoidlike manifestations of histoplasmosis. Arch Intern Med. 1989; 149(11):2421-6. View

5.
Chopra A, Nautiyal A, Kalkanis A, Judson M . Drug-Induced Sarcoidosis-Like Reactions. Chest. 2018; 154(3):664-677. DOI: 10.1016/j.chest.2018.03.056. View