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Sarcoidosis, Gastrointestinal

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Part of the book series: Encyclopedia of Pathology ((EP))

Synonyms

Abdominal sarcoidosis; Gastrointestinal manifestations of sarcoidosis; Granulomatous gastroenteritis

Definition

Sarcoidosis is a noncaseating granulomatous disease, likely of autoimmune etiology, that causes inflammation and tissue damage in multiple organs, most commonly the lung, but also skin, and lymph nodes, characterized by the formation of noncaseating granulomas. The infiltration of CD4 + −activated T-cells represents the immunological hallmark of sarcoidosis. If persistent, this inflammatory process is followed by the formation of granulomas. The accumulated inflammatory cells and granulomas result in distortion of the architecture of the affected tissue and, ultimately, organ dysfunction. Constitutional symptoms include weight loss, myalgias, night sweats, and fever and are most frequent early in the disease. A common acute presentation is erythema nodosum with arthralgias and hilar adenopathy (Lofgren’s syndrome). Over 90% of patients have lung involvement. The...

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References and Further Reading

  1. Akdogan, M., Ulas, M., Kayhan, B., Orug, T., & Aydog, G. (2008). Gastrointestinal sarcoidosis mimicking colonic cancer. Turkish Journal of Gastroenterology, 19(2), 136–138.

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  2. Kchaou Ouakaa, A., Kochlef, A., Kilani, A., Kharrat, J., Romani, M., Gargouri, D., Belhadj, N., Ghorbel, A., Khayat, O., & Ben Ayed, M. (2003). Gastric and colonic sarcoidosis. A case report. La Tunisie Médicale, 81(11), 902–906.

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  3. Maàmouri, N., Guellouz, S., Ben Hariz, F., Ketari, S., Belkahla, N., Ouerghi, H., Chelly-Enneifer, I., Chouaib, S., Moncef Zitouna, M., & Ben Mami, N. (2010). Gastrointestinal sarcoidosis. La Revue de Médecine Interne, 31(4), 262–267.

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  4. Vahid, B., Spodik, M., Braun, K. N., Ghazi, L. J., & Esmaili, A. (2007). Sarcoidosis of gastrointestinal tract: a rare disease. Digestive Diseases and Sciences, 52(12), 3316–3320.

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  5. Ushiki, A., Koizumi, T., Kubo, K., Suzawa, K., Arakura, N., & Suzawa, H. (2009). Colonic sarcoidosis presenting multiple submucosal tumor-like lesions. Internal Medicine, 48(20), 1813–1816.

    Article  Google Scholar 

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Correspondence to Susana Rodrigues .

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Rodrigues, S. (2017). Sarcoidosis, Gastrointestinal. In: Carneiro, F., Chaves, P., Ensari, A. (eds) Pathology of the Gastrointestinal Tract. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-40560-5_1678

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  • DOI: https://doi.org/10.1007/978-3-319-40560-5_1678

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-40559-9

  • Online ISBN: 978-3-319-40560-5

  • eBook Packages: MedicineReference Module Medicine

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