Fatih Mohammed Taib, Saleh Renaz Sabir, Majeed Truska Faraidun, Mahmood Mohammed Khalid
Dentistry Department Komar University of Science and Technology Kurdistan Iraq.
College of Dentistry, Oral Diagnosis Department Sulaimani University Kurdistan Iraq.
Clin Case Rep. 2024 Jun 5;12(6):e8982. doi: 10.1002/ccr3.8982. eCollection 2024 Jun.
This paper presents a rare sarcoidosis case in a child of 12 years of age presented with arthritis, bilateral parotid enlargement and ocular, but unfortunately the diagnosis has been missed due to lack of pulmonary involvement.
Diagnosis of sarcoidosis is by exclusion, and sometimes, it can be challenging. This paper presents a rare sarcoidosis case in a child of 12 years of age presented with bilateral parotid enlargement. The signs of musculoskeletal and ocular involvement were present before the parotid enlargement, and the parotid swelling persisted for 3 years; but unfortunately the definite diagnosis has been missed by the previous healthcare professionals most probably due to the rarity of the situation, especially lack of pulmonary involvement. Therefore, cooperation between different healthcare specialties is important for an effective diagnosis and management. Despite its rarity, sarcoidosis should always be present in the list of differential diagnosis when encountering multisystem entities like arthritis, ocular symptoms and parotid swelling.
本文介绍了一例12岁儿童的罕见结节病病例，该患儿出现关节炎、双侧腮腺肿大和眼部症状，但不幸的是，由于缺乏肺部受累表现，诊断被漏诊。
结节病的诊断需排除其他疾病，有时具有挑战性。本文介绍了一例12岁儿童的罕见结节病病例，该患儿出现双侧腮腺肿大。在腮腺肿大之前就已出现肌肉骨骼和眼部受累的体征，腮腺肿胀持续了3年；但不幸的是，之前的医护人员很可能由于这种情况罕见，尤其是缺乏肺部受累表现，而漏诊了明确诊断。因此，不同医疗专科之间的合作对于有效诊断和管理至关重要。尽管结节病罕见，但在遇到如关节炎、眼部症状和腮腺肿胀等多系统疾病时，鉴别诊断清单中应始终考虑到结节病。
