Nodular Pulmonary Sarcoidosis

Nodular sarcoidosis is a rare form of pulmonary sarcoidosis comprising 4% of lung involvement in this disease. It usually affects African American women with a mean age of 35 years. It presents with constitutional symptoms associated with chest imaging findings of multiple or solitary lung nodules. In our case we present a 38-year-old woman who had chronic productive cough associated with fever and dyspnea for 1 month. She had course of antibiotics without improvement in her symptoms. Chest imaging showed multiple nodules measuring up to 7.5 cm in size. Lung biopsy was obtained and histopathology revealed non-caseating granulomas consistent with sarcoidosis. Angiotensin-converting enzyme levels were elevated. She received systemic steroids and the nodules resolved on follow-up imaging. J Med Cases. 2019;10(2):46-48 doi: https://doi.org/10.14740/jmc3246