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Gastric sarcoidosis.

Emmanuel Akinyemi¹, Upinder Rohewal, Matthew Tangorra

¹Department of Internal Medicine, Coney Island Hospital, Brooklyn, NY 14235, USA. yemmy68@yahoo.com

Journal of the National Medical Association

|June 17, 2006

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A rare case of gastric sarcoidosis presented with acute facial droop and upper gastrointestinal bleeding. This highlights the importance of considering sarcoidosis in patients with unexplained GI issues.

Area of Science:

Gastroenterology
Internal Medicine
Pathology

Background:

Sarcoidosis is a multisystem inflammatory disease of unknown etiology.
Gastric involvement in sarcoidosis is uncommon, with varied clinical presentations.

Observation:

A 58-year-old Jamaican male experienced sudden right-sided facial paralysis and dysarthria.
During hospitalization, he developed an upper gastrointestinal bleed.

Findings:

Endoscopic examination revealed an antral ulcer.
Biopsy confirmed the presence of gastric sarcoidosis.

Implications:

This case underscores the potential for gastric sarcoidosis to manifest acutely with gastrointestinal hemorrhage.

Related Experiment Videos

Clinicians should consider sarcoidosis in the differential diagnosis of unexplained upper GI bleeds, especially in patients with relevant risk factors or prior sarcoidosis diagnosis.