QJM Advance Access published online on September 25, 2009
QJM, doi:10.1093/qjmed/hcp135
© The Author 2009. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Small intestinal involvement revealing sarcoidosis
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Sir,
Sarcoidosis is an immune-mediated condition affecting multiple organs, especially the lungs, lymph nodes, skin and eyes.1,2 Gastrointestinal involvement is considered to be a rare complication of sarcoidosis, occurring in <10% of the patients during the course of the disease.3,4 We recently observed the interesting case of a patient who developed duodenal involvement as the first manifestation of sarcoidosis.
A 36-year-old woman, with unremarkable previous medical history, presented with a 4-month history of asthenia and a 10-kg weight loss; she also complained of
Department of Internal Medicine, Rouen University Hospital, 76031 Rouen Cedex, France email: isabelle.marie@chu-rouen.fr