WILLIAM E. HARDY, M.D.; HENRY TULGAN, M.D.; GERALD HAIDAK, M.D.; JOSEPH BUDNITZ, M.D., F.A.C.P.
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.
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.
HARDY WE, TULGAN H, HAIDAK G, BUDNITZ J. Sarcoidosis: A Case Presenting with Dysphagia and Dysphonia. Ann Intern Med. ;66:353–357. doi: 10.7326/0003-4819-66-2-353
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Published: Ann Intern Med. 1967;66(2):353-357.
DOI: 10.7326/0003-4819-66-2-353
Esophageal Disorders, Gastroenterology/Hepatology.
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