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Sarcoidosis-like disease with pulmonary infestation, meningoencephalitis and transverse myelitis after sigmoid cancer treatment

Journal Volume 84 - 2021
Issue Fasc.4 - Case reports
Author(s) C. Callens 1 2, H. De Cauwer 1 2, M. Viaene 2, D. Vanneste 3, A. Eyben 4, D. Coeman 5
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PAGES 672-674
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DOI10.51821/84.4.021
Affiliations:
(1) Faculty of Medicine and Health Sciences. University of Antwerp, Wilrijk, Belgium
(2) Dpt. of neurology, AZ St Dimpna, Geel, Belgium
(3) Dpt. of radiology, AZ St Dimpna, Geel, Belgium
(4) Dpt. of gastroenterology, AZ St Dimpna, Geel, Belgium
(5) Dpt. of pneumology, AZ St Dimpna, Geel, Belgium

We present the case of a 40-year-old male with recent history of moderately differentiated invasive adenocarcinoma of the sigmoid in whom both respiratory and neurological disease developed simultaneously, mimicking diffuse metastatic disease. The broad differential diagnosis and pitfalls (both diagnostic and therapeutic) are described. Pulmonary sarcoidosis as well as neurosarcoidosis occur very rarely after solid cancers.

Keywords: neurosarcoidosis, meningoencephalitis, transverse myeli-tis, differential diagnosis, sigmoid cancer, chemotherapy.

The authors declare that they have no conflict of interest.
© Acta Gastro-Enterologica Belgica.
PMID 34965052