Chemlal K, Fantin B, Seux-Levieil M L, Belmatoug N, Carbon C
Service de Médecine Interne, Hôpital Bichat, Paris.
Ann Med Interne (Paris). 1996;147(2):103-6.
We report two cases of gastrointestinal sarcoidosis. One patient had a gastric involvement, the other a duodenal and ileum involvement. The two patients had the same symptoms, including diarrhea, vomiting, abdominal pain and weight loss. Endoscopic examination revealed only an erythematous gastritis in the first patient, while the colon and the small bowel were macroscopically normal in the second. Histologic findings were consistent with a gastric and salivary gland sarcoidosis granulomata for the first patient and with a lung, duodenal and small intestine involvement for the second one. Gastrointestinal involvement in sarcoidosis is rare, especially small bowel localization. A brief discussion and a literature review of gastrointestinal sarcoidosis are presented.
