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Paralysis and a perihilar protuberance: an unusual presentation of sarcoidosis in a child

Danielle F Wurzel1, Daniel P Steinfort, John Massie

  • 1Department of Respiratory Medicine, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia. daniellewurzel@netspace.net.au

Pediatric Pulmonology
|March 14, 2009
PubMed

Insights

Pediatric sarcoidosis can mimic other conditions, complicating diagnosis. This case highlights a child with a Guillain-Barré-like illness and successful diagnosis using Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA).

Area of Science:

  • Pediatric Pulmonology
  • Pediatric Neurology
  • Interventional Pulmonology

Background:

  • Sarcoidosis in children often presents with diverse extrapulmonary symptoms, posing diagnostic challenges.
  • Neurological involvement in pediatric sarcoidosis is uncommon but can manifest severely.

Observation:

  • A pediatric patient presented with symptoms mimicking Guillain-Barré syndrome.
  • A perihilar mass was incidentally discovered during the diagnostic workup.

Findings:

  • The perihilar mass was identified as sarcoidosis.
  • Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA) was successfully employed for diagnosis.
  • This marks the first reported use of EBUS-TBNA for pediatric hilar lymphadenopathy in a sarcoidosis case.

Implications:

  • EBUS-TBNA is a valuable minimally invasive tool for diagnosing pediatric hilar lymphadenopathy.
  • Early diagnosis of pediatric sarcoidosis is crucial for timely management and improved outcomes.
  • Recognizing atypical presentations of sarcoidosis in children is essential for accurate diagnosis.

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