MULTIPLE ANTRAL ULCERS IN GASTRIC SARCOID

A 33-year-old woman suffered a week of severe epigastric pain and subs equent weight loss. On upper-gastrointestinal endoscopy several superf icial ulcers were evident in the antral region. Mucosal biopsies from the ulcers showed epithelial cell granulomas. Even though no hilar lym phadenopathy was pre sent on the chest radiograph and computed tomogra phic scan, the patient underwent bronchoscopy and transbronchial biops y, which showed noncaseating epithelial cell granuloma, and bronchoalv eolar lavage, which showed a lymphocytic pattern suggestive of sarcoid osis. Reports of gastric involvement in systemic sarcoidosis with no b ilateral hilar lymphadenopathy are rare. We believe this is the first report of symptomatic gastric ulcers leading to endoscopic diagnosis o f the underlying sarcoidosis.