SARCOIDOSIS AS CHEST PAIN: AN ATYPICAL CLINICAL PRESENTATION
Abstract
A 36-year-old man reported a four-month history of left-sided chest pain accompanied by exertional dyspnea. Initial physical
examination and routine laboratory tests were unremarkable. Chest X-ray showed bilateral diffuse interstitial nodular opaci
ties with perihilar consolidations. Follow-up chest CT revealed peri-lymphatic nodularity mainly affecting the mid and upper
lung zones, distributed along peri-bronchovascular bundles, subpleural surfaces, and fissures. This resulted in central upper
lobe conglomerations, along with hilar and mediastinal lymphadenopathy. The next day, bronchoscopy with endobronchial
ultrasound-guided transbronchial biopsy was performed. The histopathological analysis identified non-necrotizing, well
formed granulomas within dense, hyalinized, sclerotic tissue, confirming the diagnosis of sarcoidosis
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Copyright (c) 2025 Ujala Hussain, Khalid Saifullah Baig, Zaunnor Ahmad Marwat

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