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Case Reports |

Sarcoidosis: A Case Presenting with Dysphagia and Dysphonia

WILLIAM E. HARDY, M.D.; HENRY TULGAN, M.D.; GERALD HAIDAK, M.D.; and JOSEPH BUDNITZ, M.D., F.A.C.P.
Ann Intern Med. 1967;66(2):353-357. doi:10.7326/0003-4819-66-2-353
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Sarcoidosis is a generalized granulomatous disease of unknown etiology that affects many tissues and is characterized pathologically by epithelioid tubercles with little or no necrosis. Over 90% of cases have pulmonary or mediastinal involvement. Occasionally, the nervous system is affected, but rarely is the gastrointestinal tract diseased (1-4). This paper presents an unusual case of sarcoidosis, involving not only the lungs and the cranial nerves but also the esophagus.

CASE REPORT: The patient, a 31-year-old, single, white female clinical psychologist, was admitted to Pittsfield General Hospital on March 20, 1966, with complaints of dysphagia, dysphonia, dizziness, fatigue, and weight loss.

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