结节病表现为体重减轻但食欲正常。

Sarcoidosis presenting as a loss of weight with preserved appetite.

作者信息

Goonetilleke Asitha, Matthias Anne Thushara

机构信息

University Medical Unit, Colombo South Teaching Hospital, Kalubowila, Dehiwala, Sri Lanka.

Department of Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.

出版信息

SAGE Open Med Case Rep. 2023 Aug 21;11:2050313X231195248. doi: 10.1177/2050313X231195248. eCollection 2023.

DOI:10.1177/2050313X231195248

PMID:37654552

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10467165/

Abstract

Sarcoidosis is a multisystem inflammatory disorder of unknown aetiology affecting a wide range of organs and is characterised by the presence of noncaseating granulomas. It has rarely been reported in Sri Lanka. This case describes a 36-year-old male presenting with a loss of weight despite a preserved appetite. He had evidence of sarcoidosis with pulmonary, lymph node, eye, hepatosplenomegaly, thyroid and parotid gland involvement with hypercalcaemia. He was successfully treated with glucocorticoids.

摘要

结节病是一种病因不明的多系统炎症性疾病，可累及多种器官，其特征为出现非干酪样肉芽肿。在斯里兰卡，该病鲜有报道。本病例描述了一名36岁男性，尽管食欲正常但体重减轻。他有结节病的证据，累及肺、淋巴结、眼、肝脾肿大、甲状腺和腮腺，并伴有高钙血症。他接受糖皮质激素治疗后获得成功。