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Sarcoidosis que se presenta con esplenomegalia masiva: 2 casos sin afectación pulmonar
Md Sadiqul Islam1, Kfm Ayaz1, Sumaiya Farah Marisa1
1Department of Internal Medicine, Evercare Hospital Dhaka, Dhaka, Bangladesh.
Radiology case reports
|August 22, 2025
Resumen
La sarcoidosis, una enfermedad granulomatosa crónica, puede presentarse como una esplenomegalia aislada. El diagnóstico temprano y el tratamiento con corticosteroides pueden resolver las lesiones esplénicas, evitando la esplenectomía.
Área de la Ciencia:
- Medicina interna
- Patología
- Radiología
Sus antecedentes:
- La sarcoidosis es una enfermedad granulomatosa sistémica crónica que afecta normalmente a los pulmones y a los ganglios linfáticos mediastinales.
- La sarcoidosis extrapulmonar, particularmente la afectación del bazo aislada sin enfermedad de los ganglios linfáticos pulmonares o mediastinales, es rara.
- La esplenomegalia como síntoma inicial plantea desafíos de diagnóstico, especialmente en regiones con alta prevalencia de enfermedades infecciosas o hematológicas.
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