[Necrotizing sarcoid granulomatosis: a case report and review of the literature]

A patient with asymptomatic necrotizing sarcoid granulomatosis is reported. There were bilateral nodules in the chest radiograph but no mediastinal adenopathies were seen on a computed tomography scan. The transbronchial biopsy specimens under fluoroscopy guidance achieved the diagnosis. Steroid treatment was started. The nodules disappeared in three months and reappeared two months later when the patient decided to stop treatment. After two years of follow up the nodules disappeared spontaneously. This is a rare and seldom reported entity, considered by some authors as being and atypical form of sarcoid.