An Unusual Presentation of Neurosarcoidosis in a 64-Year-Old Man: A Case Report
Sarcoidosis is a multisystem granulomatous disorder with an unknown etiology that typically involves the lungs, skin, and lymph nodes, with neurological involvement being relatively rare. We discuss a case of neurosarcoidosis in a 64-year-old man who initially presented with unexplained cognitive im...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2024-05, Vol.16 (5), p.e60146 |
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| creator | Gopal, Kalashree Howard, Jeremiah Ramaraj, Shyamalee Shroff, Ahaj H Gamard, Christopher |
| description | Sarcoidosis is a multisystem granulomatous disorder with an unknown etiology that typically involves the lungs, skin, and lymph nodes, with neurological involvement being relatively rare. We discuss a case of neurosarcoidosis in a 64-year-old man who initially presented with unexplained cognitive impairment, insomnia, hyponatremia, paresthesias, and weight loss and later developed uveitis, diplopia, and dysphagia. Ultimately, findings of hilar and mediastinal lymphadenopathy on chest computed tomography (CT) resulted in bronchoscopy, which led to the diagnosis. This case highlights a rare presentation of sarcoidosis with an unusual constellation of symptoms. We discuss the difficulty involved in diagnosing this disorder as well as its highly variable course. |
| doi_str_mv | 10.7759/cureus.60146 |
| format | Article |
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We discuss a case of neurosarcoidosis in a 64-year-old man who initially presented with unexplained cognitive impairment, insomnia, hyponatremia, paresthesias, and weight loss and later developed uveitis, diplopia, and dysphagia. Ultimately, findings of hilar and mediastinal lymphadenopathy on chest computed tomography (CT) resulted in bronchoscopy, which led to the diagnosis. This case highlights a rare presentation of sarcoidosis with an unusual constellation of symptoms. 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This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2024, Gopal et al. 2024 Gopal et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c300t-df939576e4ec04c9ac131a43f08e0d3ca1d58dbf1fb07fffb854991ec75c07563</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11166250/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11166250/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38864033$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gopal, Kalashree</creatorcontrib><creatorcontrib>Howard, Jeremiah</creatorcontrib><creatorcontrib>Ramaraj, Shyamalee</creatorcontrib><creatorcontrib>Shroff, Ahaj H</creatorcontrib><creatorcontrib>Gamard, Christopher</creatorcontrib><title>An Unusual Presentation of Neurosarcoidosis in a 64-Year-Old Man: A Case Report</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>Sarcoidosis is a multisystem granulomatous disorder with an unknown etiology that typically involves the lungs, skin, and lymph nodes, with neurological involvement being relatively rare. 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| source | PubMed Central Open Access; PubMed Central |
| subjects | Abdomen Antigens Bronchoscopy Case reports Cognitive ability Diplopia Dysphagia Dyspnea Esophagus Eye examinations Gastroenterology Granulomas Hospitalization Hyponatremia Insomnia Leukocytes Lymphatic system Lymphoma Magnetic resonance imaging Neurology Patients Peripheral neuropathy Primary care Pulmonology Sarcoidosis Steroids Tomography |
| title | An Unusual Presentation of Neurosarcoidosis in a 64-Year-Old Man: A Case Report |
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