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Isolated gastric sarcoidosis: a rare entity.
Ronak Vashi Patel1,2, Rachel W Winter3, Walter W Chan3
1Division of Gastroenterology and Hepatology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.
BMJ Case Reports
|June 10, 2017
Summary
This case study details isolated granulomatous gastritis, a rare condition, in a young woman. Diagnosis involved excluding other causes and confirming gastric sarcoidosis through endoscopy and histology.
Area of Science:
- Gastroenterology
- Pathology
- Internal Medicine
Background:
- Granulomatous gastritis is a rare condition characterized by the presence of granulomas in the stomach lining.
- While often associated with systemic diseases like sarcoidosis, isolated gastric involvement is uncommon.
Observation:
- A 21-year-old woman presented with severe nausea, vomiting, and dysphagia.
- Upper gastrointestinal endoscopy showed nodular and thickened gastric mucosa.
Findings:
- Histopathological examination revealed non-caseating granulomas, consistent with granulomatous gastritis.
- Infectious, inflammatory, and malignant etiologies were systematically excluded.
Implications:
- This case highlights gastric sarcoidosis as a potential cause of isolated granulomatous gastritis.
- Early diagnosis and exclusion of other conditions are crucial for appropriate patient management.
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