A 82-year-old man presented with pancytopenia and hypercalcemia. His thyroid function test was normal and serum electrophoresis showed no monoclonal gammopathy. A bone marrow biopsy revealed noncaseating granulomas (Figs. 85.1, 85.2, and 85.3). Computerized tomography of thorax showed extensive adenopathy throughout the mediastinum, as well as probable right hilar adenopathy. A transbronchial biopsy (Fig. 85.4) and a right axillary lymph node biopsy (Fig. 85.5) also demonstrated granulomatous lesions. A skin tuberculin test was negative. Serum coccidioidomycosis titers and urine antigen for histoplasmosis were also negative.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Iannuzzi MC, Rybicki BA, Teirstein AS. Sarcoidosis. N Engl J Med 2007;357:2153–2165.
Nunes H, Soler P, Valeyre D. Pulmonary sarcoidosis. Allegy 2005;60:565–582.
Wu JJ, Schiff KR. Sarcoidosis. Am Fam Physician 2004;70:312–322.
Ioachim HL, Medeiros LJ. Ioachim’s Lymph Node Pathology, 4th ed, Philadelphia, Lippincott Williams & Wilkins, 2009, 203–212.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
(2009). Case 85. In: Sun, T. (eds) Atlas of Hematologic Neoplasms. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-89848-3_86
Download citation
DOI: https://doi.org/10.1007/978-0-387-89848-3_86
Publisher Name: Springer, Boston, MA
Print ISBN: 978-0-387-89847-6
Online ISBN: 978-0-387-89848-3
eBook Packages: MedicineMedicine (R0)