SARCOIDOSIS - SINGLE BULKY MESENTERIC LYMPH-NODE MIMICKING A LYMPHOMA

A previously healthy man presented with acute abdominal pain that exte nded from the left lumbar area to the left iliac fossa and to the omol ateral testicular region. Abdominal ultrasonography and CT scan showed a bulky mesenteric mass and mesenteric, paraaortic, and paracaval lym ph nodes. Biopsy specimens of the mass revealed non caseating granulom as. Chest CT scan and (67)Gallium thoracic scan demonstrated lymph nod e and parenchymal pulmonary involvement. Bronchoalveolar lavage (BAL) confirmed the presence of a low intensity alveolitis. Serum angiotensi n converting enzyme (SAGE) level was elevated. Two years after steroid therapy, markers of. disease activity and abdominal ultrasonography a re in the normal range.