Granulomatous Mastts and Sarcoidosis Differental Diagnosis: A Case Report
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Abstract
Granulomatous mastitis is a pathological diagnosis with a variety of causes, and its treatment depends on the underlying cause. We report a case of granulomatous mastitis in a 25-year-old woman admitted with erythema nodosum and an unresponded acute inflammatory mastitis to treatment. It was challenging for us to make a definite diagnosis between sarcoidosis and idiopathic lobular granulomatous mastitis for her. In the end, our diagnosis was sarcoidosis because of dactylitis we found in her physical examination which responded dramatically to nonsteroidal anti-inflammatory drug treatment. We started therapy with corticosteroids and immunosuppressant drugs and offered her continuous follow-up.
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[6] Rybicki BA, Major M, Popovich J Jr., Maliarik MJ, Iannuzzi MC. Racial differences in sarcoidosis incidence: A 5-year study in a health maintenance organizaton. American Journal of Epidemiology. 1997; 145(3):234-41. [DOI:10.1093/oxfordjournals.aje.a009096] [PMID]
[7] Birnbaum AD, Rifin LM. Sarcoidosis: Sex-dependent variatons in presentaton and management. Journal of Ophthalmology. 2014; 2014:236905. [DOI:10.1155/2014/236905] [PMID] [PMCID]
[8] Baughman RP, Lower EE, du Bois RM. Sarcoidosis. The Lancet. 2003; 361(9363):1111-8. [DOI:10.1016/S0140-6736(03)12888-7] [PMID]
[9] Kamangar N, Rohani P, Shorr AF, Peters SP, Talavera F, Rice TD, et al. (2014). Sarcoidosis treatment & management. Medscape Reference. Retrieved from: htps://emedicine.medscape.com/ artcle/301914-clinical#showall
[10] Fiorucci F, Cont V, Lucantoni G, Patrizi A, Fiorucci C, Giannunzio G, et al. Sarcoidosis of the breast: A rare case report and a review. European Review For Medical And Pharmacological Sciences. 2006; 10(2):47-50. [PMID]
[11] Govender P, Berman JS. The diagnosis of sarcoidosis. Clinics in Chest Medicine. 2015; 36(4):585-602. [DOI:10.1016/j. ccm.2015.08.003] [PMID]
[12] Spagnolo P. Sarcoidosis: A critcal review of history and milestones. Clinical Reviews In Allergy & Immunology. 2015; 49(1):1-5. [DOI:10.1007/s12016-015-8480-0] [PMID]
[13] Baughman RP, Lower EE. Treatment of sarcoidosis. Clinical Reviews In Allergy & Immunology. 2015; 49(1):79-92. [DOI:10.1007/ s12016-015-8492-9] [PMID]
[2] Zhou F, Yu LX, Ma ZB, Yu ZG. Granulomatous lobular mastts. Chronic Diseases and Translatonal Medicine. 2016; 22(1):17-21 [DOI:10.1016/j.cdtm.2016.02.004] [PMID] [PMCID]
[3] Garcia-Rodiguez JA, Patullo A. Idiopathic granulomatous mastts: A mimicking disease in a pregnant woman: A case report. BMC Research Notes. 2013; 6:95. [DOI:10.1186/1756-0500-6-95] [PMID] [PMCID]
[4] Akbulut S, Yilmaz D, Bakir S. Methotrexate in the management of idiopathic granulomatous mastts: Review of 108 published cases and report of four cases. The Breast Journal. 2011; 17(6):661-8. [DOI:10.1111/j.1524-4741.2011.01162.x] [PMID]
[5] Dehertogh DA, Rossof AH, Harris AA, Economou SG. Prednisone management of granulomatous mastts. The New England Journal of Medicine. 1980; 303(14):799-800. [DOI:10.1056/ NEJM198010023031406] [PMID]
[6] Rybicki BA, Major M, Popovich J Jr., Maliarik MJ, Iannuzzi MC. Racial differences in sarcoidosis incidence: A 5-year study in a health maintenance organizaton. American Journal of Epidemiology. 1997; 145(3):234-41. [DOI:10.1093/oxfordjournals.aje.a009096] [PMID]
[7] Birnbaum AD, Rifin LM. Sarcoidosis: Sex-dependent variatons in presentaton and management. Journal of Ophthalmology. 2014; 2014:236905. [DOI:10.1155/2014/236905] [PMID] [PMCID]
[8] Baughman RP, Lower EE, du Bois RM. Sarcoidosis. The Lancet. 2003; 361(9363):1111-8. [DOI:10.1016/S0140-6736(03)12888-7] [PMID]
[9] Kamangar N, Rohani P, Shorr AF, Peters SP, Talavera F, Rice TD, et al. (2014). Sarcoidosis treatment & management. Medscape Reference. Retrieved from: htps://emedicine.medscape.com/ artcle/301914-clinical#showall
[10] Fiorucci F, Cont V, Lucantoni G, Patrizi A, Fiorucci C, Giannunzio G, et al. Sarcoidosis of the breast: A rare case report and a review. European Review For Medical And Pharmacological Sciences. 2006; 10(2):47-50. [PMID]
[11] Govender P, Berman JS. The diagnosis of sarcoidosis. Clinics in Chest Medicine. 2015; 36(4):585-602. [DOI:10.1016/j. ccm.2015.08.003] [PMID]
[12] Spagnolo P. Sarcoidosis: A critcal review of history and milestones. Clinical Reviews In Allergy & Immunology. 2015; 49(1):1-5. [DOI:10.1007/s12016-015-8480-0] [PMID]
[13] Baughman RP, Lower EE. Treatment of sarcoidosis. Clinical Reviews In Allergy & Immunology. 2015; 49(1):79-92. [DOI:10.1007/ s12016-015-8492-9] [PMID]
| Files | ||
| Issue | Vol 4 No 3 (2019): Summer | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v4i3.1710 | |
| Keywords | ||
| Sarcoidosis; Granulomatous mastts; Breast; Erythema nodosum | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Sahraiyan S, Abbaszadeh M, KhajaviRad N, Karimpour Reyhan S, Afshari A. Granulomatous Mastts and Sarcoidosis Differental Diagnosis: A Case Report. CRCP. 2019;4(3):64-68.
