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ARDS as a presenting feature in sarcoidosis: an uncommon occurrence

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Abstract

Abstract: Sarcoidosis though a chronic multi-system granulomatous disease, predominantly involves respiratory system. Often asymptomatic, patients can present with lymphadenopathy, prolonged fever and shortness of breath. Acute respiratory distress syndrome (ARDS) is relatively uncommon presenting feature of the disease. Here we present a case of a 19 years old female presenting in acute respiratory distress syndrome, eventually being diagnosed as Sarcoidosis. Although different diagnostic criteria have been developed for early diagnosis of sarcoidosis, atypical presentations can always pose significant challenge and lag for the diagnosis.

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Sanjeet K Shrestha Department of Pulmonary, Critical Care and Sleep Medicine, Nepal Mediciti Hospital, Nepal Jonas Malla Department of Pulmonary, Critical Care and Sleep Medicine, Nepal Mediciti Hospital, Nepal Yuvaraj Bhusal Department of Pulmonary, Critical Care and Sleep Medicine, Nepal Mediciti Hospital, Nepal Sanjeet Bhattarai Department of Pulmonary, Critical Care and Sleep Medicine, Nepal Mediciti Hospital, Nepal Rakesh Lama Department of Pulmonary, Critical Care and Sleep Medicine, Nepal Mediciti Hospital, Nepal Sulav Rayamajhi Department of Pulmonary, Critical Care and Sleep Medicine, Nepal Mediciti Hospital, Nepal Naresh Gurung Department of Pulmonary, Critical Care and Sleep Medicine, Nepal Mediciti Hospital, Nepal Ashish Shrestha Department of Pulmonary, Critical Care and Sleep Medicine, Nepal Mediciti Hospital, Nepal Ashish Karthik Department of Pulmonary, Critical Care and Sleep Medicine, Nepal Mediciti Hospital, Nepal Pratistha Pradhan Department of Pulmonary, Critical Care and Sleep Medicine, Nepal Mediciti Hospital, Nepal Reena Rana Department of Laboratory Medicine and Pathology, Nepal Mediciti Hospital, Nepal Khusboo Khetan Department of Laboratory Medicine and Pathology, Nepal Mediciti Hospital, Nepal

Keywords

Sarcoidosis, Acute Respiritory Distress Syndrome, Granuloma

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