Nodüler Splenik Sarkoidoz: Nadir Bir Olgu

Sarkoidoz idiyopatik multisistemik granülomatöz bir hastalýktýr. En sýk akciðerleri tutar. Biz nadir ve genellikle asemptomatik karaciðer tutulumu olmayan nodüler splenik sarkoidozlu bir olguyu sunduk. Otuz bir yaþýndaki erkek hasta; öksürük, balgam ve nefes darlýðý þikâyetleriyle kliniðimize baþvurdu. Sarkoidozun yaygýn sistemik bulgularýndan hiçbirine rastlanýlmadý. Toraks ve batýn BT incelenmesinde çok sayýda hipodens mediastinal lenf nodlarý ve dalak tutulumu vardý. Baþka intra-abdominal patoloji veya periferik lenfadenopati saptanmadý. Mediastinoskopi yapýldý. Tanýsý histopatolojik olarak doðrulandý. Týbbi tedaviden sonra þikâyetleri azaldý. Nodüler splenik tutulumu nadirdir. Sarkoidozun; multiple karaciðer ve splenik tutulumu olan otuz dokuz olgu rapor edilmesine raðmen, sadece üç izole nodüler splenik tutulum literatürde bildirilmiþtir. Nadirliði nedeniyle ekstrapulmoner sarkoidoz önemli morbidite ve mortaliteye neden olabilir. Bu nedenle, karaciðer tutulumu olmayan nodüler splenik sarkoidozun, belirtileri, tanýsý ve klinik seyrine dikkat çekmek amacýyla bu olguyu sunduk.

Nodular Splenic Sarcoidosis: A Rare Case Report

Sarcoidosis is an idiopathic, multi-systemic, granulomatous disease. It most commonly involves the lungs. Herein, we present a rare and usually asymptomatic case with splenic sarcoidosis without liver involvement. A 31-year-old male patient was admitted to our clinic with cough, sputum, and shortness of breath. He reported no common systemic complaints of sarcoidosis. Thoracic and abdominal computed tomography showed multiple hypodense mediastinal lymph nodes with splenic involvement. No other intra-abdominal pathology or peripheral lymphadenopathy was detected. Mediastinoscopy was performed. Diagnosis was made histopathologically. Following the treatment, his complaints regressed. Nodular splenic involvements are uncommon. Although there have been reported thirty-nine cases of sarcoidosis with multiple nodular hepatic and splenic lesions, only three isolated splenic cases have been reported in the literature to date. Despite its rarity, extra-pulmonary sarcoidosis may cause significant morbidity and mortality. Therefore, we discuss this case to draw attention to splenic sarcoidosis without liver involvement and its manifestations, diagnosis, and clinical course.

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