Undiagnosed sarcoidosis presenting as acute pancreatitis: a rare presentation of a known disease

Nishraj Basnet; Atinuke Aluko; Ardy Fenando; Supratik Rayamajhi

doi:10.1136/bcr-2020-234767

Undiagnosed sarcoidosis presenting as acute pancreatitis: a rare presentation of a known disease

Nishraj Basnet, Atinuke Aluko, Ardy Fenando, Supratik Rayamajhi

Division of Rheumatology

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

A 43-year-old African American man presented with right upper quadrant pain and elevated blood pressure. Investigations revealed elevated lipase, hypercalcaemia and elevated creatinine. CT abdomen with contrast revealed extensive intraabdominal lymphadenopathy with an initial suspicion for a lymphoproliferative malignancy. Patient was managed for acute pancreatitis, with further workup of hypercalcaemia revealing an elevated ACE level. Inguinal lymph node biopsy confirmed a non-caseating granuloma leading to the diagnosis of sarcoidosis.

Original language	English
Article number	234767
Journal	BMJ Case Reports
Volume	14
Issue number	2
DOIs	https://doi.org/10.1136/bcr-2020-234767
State	Published - Feb 8 2021

Keywords

interstitial lung disease
pancreatitis

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title = "Undiagnosed sarcoidosis presenting as acute pancreatitis: a rare presentation of a known disease",

abstract = "A 43-year-old African American man presented with right upper quadrant pain and elevated blood pressure. Investigations revealed elevated lipase, hypercalcaemia and elevated creatinine. CT abdomen with contrast revealed extensive intraabdominal lymphadenopathy with an initial suspicion for a lymphoproliferative malignancy. Patient was managed for acute pancreatitis, with further workup of hypercalcaemia revealing an elevated ACE level. Inguinal lymph node biopsy confirmed a non-caseating granuloma leading to the diagnosis of sarcoidosis.",

keywords = "interstitial lung disease, pancreatitis",

author = "Nishraj Basnet and Atinuke Aluko and Ardy Fenando and Supratik Rayamajhi",

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T2 - a rare presentation of a known disease

AU - Basnet, Nishraj

AU - Aluko, Atinuke

AU - Fenando, Ardy

AU - Rayamajhi, Supratik

N1 - Publisher Copyright: © BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2021/2/8

Y1 - 2021/2/8

N2 - A 43-year-old African American man presented with right upper quadrant pain and elevated blood pressure. Investigations revealed elevated lipase, hypercalcaemia and elevated creatinine. CT abdomen with contrast revealed extensive intraabdominal lymphadenopathy with an initial suspicion for a lymphoproliferative malignancy. Patient was managed for acute pancreatitis, with further workup of hypercalcaemia revealing an elevated ACE level. Inguinal lymph node biopsy confirmed a non-caseating granuloma leading to the diagnosis of sarcoidosis.

AB - A 43-year-old African American man presented with right upper quadrant pain and elevated blood pressure. Investigations revealed elevated lipase, hypercalcaemia and elevated creatinine. CT abdomen with contrast revealed extensive intraabdominal lymphadenopathy with an initial suspicion for a lymphoproliferative malignancy. Patient was managed for acute pancreatitis, with further workup of hypercalcaemia revealing an elevated ACE level. Inguinal lymph node biopsy confirmed a non-caseating granuloma leading to the diagnosis of sarcoidosis.

KW - interstitial lung disease

KW - pancreatitis

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DO - 10.1136/bcr-2020-234767

M3 - Article

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AN - SCOPUS:85100733125

SN - 1757-790X

VL - 14

JO - BMJ Case Reports

JF - BMJ Case Reports

IS - 2

M1 - 234767

ER -

Undiagnosed sarcoidosis presenting as acute pancreatitis: a rare presentation of a known disease

Abstract

Keywords

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