Wiggins Brandon, Cenzer Chris, Sullivan John M, Knight Kyle, Banno Fady, Landesman Nathan
Gastroenterology, Henry Ford Health System, Grand Blanc, USA.
Family Medicine, Henry Ford Health System, Grand Blanc, USA.
Cureus. 2025 Jun 11;17(6):e85797. doi: 10.7759/cureus.85797. eCollection 2025 Jun.
Sarcoidosis is a systemic disease that affects multiple organs in the body but rarely affects the gastrointestinal (GI) tract. The symptoms of GI sarcoidosis may be nonspecific or silent. Often, it is discovered on computed tomography (CT) or esophagogastroduodenoscopy (EGD), and a biopsy is needed for diagnosis. Initial management is typically with prednisone; however, here, we present a rare case of GI sarcoidosis with mesenteric lymphadenopathy in the absence of pulmonary involvement, diagnosed via biopsy and treated successfully with methotrexate.
结节病是一种全身性疾病，可影响身体多个器官，但很少累及胃肠道。胃肠道结节病的症状可能不具有特异性或没有症状。通常，它是在计算机断层扫描（CT）或食管胃十二指肠镜检查（EGD）中发现的，诊断需要进行活检。初始治疗通常使用泼尼松；然而，在此我们呈现一例罕见的无肺部受累的肠系膜淋巴结肿大的胃肠道结节病病例，通过活检确诊并成功用甲氨蝶呤治疗。
