EXTRAPULMONARY SARCOIDOSIS - RAPID SPONTANEOUS REMISSION OF MARKED SPLENOMEGALY

Splenomegaly, when present as a manifestation of sarcoidosis, may caus e pressure symptoms and hypersplenism, Literature reports of giant spl enomegaly are few in number and describe the use of aggressive interve ntion with systemic steroids and splenectomy. However, the natural his tory of splenic sarcoidosis is not well-defined, particularly the pote ntial for spontaneous remission as seen in pulmonary sarcoidosis, In t he case described here, a spontaneous remission of giant splenomegaly from sarcoidosis was observed, Careful follow-up appears to be appropr iate management for at least some of these patients.