We would like to report a case of a 29-year-old male patient who presented with multiple
lymphadenopathy and vague symptoms of low grade
fever,
cough,
weight loss, rashes,
vomiting,
dry eyes and dry mouth. Physical examination revealed submandibular
lymphadenopathy, vasculitic rashes over both lower limbs, and parotid gland enlargement. Blood investigations showed mild
anemia with
leukocytosis, predominantly
eosinophilia and high erythrocyte sedimentation rate and
C-reactive protein. Computed tomography of the neck, thorax and abdomen showed bilateral submandibular, submental
adenopathy, mediastinal and para-aortic
lymphadenopathy with generalized reticulonodular densities in both lower lobes. There were
hepatomegaly and bilateral enlarged kidneys with renal
cyst. Histopathological examination from the cervical lymph node later revealed non-caseating
granuloma, consistent of
sarcoidosis. Patient responded well to
prednisolone 50 mg daily with subsequent reduction in the size of cervical
lymphadenopathy and parotid swelling.
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