Abstract
Sarcoidosis often manifests with pulmonary involvement, making isolated extrapulmonary presentations rare and diagnostically challenging. We present the case of a 43-year-old woman who presented with prolonged fever, deep lymphadenopathy, massive splenomegaly, hepatomegaly, and severe hypercalcemia, mimicking malignancy. The diagnosis of sarcoidosis was established after the failure of anti-tubercular therapy, exclusion of differential diagnosis, and the subsequent development of cutaneous sarcoids. This case highlights the importance of recognizing isolated extrapulmonary pseudo-tumoral presentations of sarcoidosis, which can lead to delayed diagnosis.
Keywords
Publication details
- DOI
- 10.5001/omj.2025.10
- Journal
- Oman Medical Journal
- Publisher
- Oman Medical Specialty Board
- Open access
- Gold open access
Cite this article
APA 7
Kechaou, I., Abida, R., Salah, H. M., Cherif, E., & Ben Hassine, L. (2025). Prolonged Fever and Severe Hypercalcemia Revealing Systemic Extrapulmonary Sarcoidosis: A Lesson to be Learned. Oman Medical Journal. https://doi.org/10.5001/omj.2025.10
MLA 9
Kechaou, Ines, et al. "Prolonged Fever and Severe Hypercalcemia Revealing Systemic Extrapulmonary Sarcoidosis: A Lesson to be Learned." Oman Medical Journal, 2025. https://doi.org/10.5001/omj.2025.10.
Chicago (author–date)
Kechaou, Ines, Rym Abida, Hamdi Mohamed Salah, Eya Cherif, and Lamia Ben Hassine. 2025. "Prolonged Fever and Severe Hypercalcemia Revealing Systemic Extrapulmonary Sarcoidosis: A Lesson to be Learned." Oman Medical Journal. https://doi.org/10.5001/omj.2025.10.
Harvard
Kechaou, I., Abida, R., Salah, H. M., Cherif, E. and Ben Hassine, L. (2025) 'Prolonged Fever and Severe Hypercalcemia Revealing Systemic Extrapulmonary Sarcoidosis: A Lesson to be Learned', Oman Medical Journal. doi:10.5001/omj.2025.10.
Vancouver
Kechaou I, Abida R, Salah HM, Cherif E, Ben Hassine L. Prolonged Fever and Severe Hypercalcemia Revealing Systemic Extrapulmonary Sarcoidosis: A Lesson to be Learned. Oman Medical Journal. 2025. doi:10.5001/omj.2025.10
IEEE
I. Kechaou, R. Abida, H. M. Salah, E. Cherif, and L. Ben Hassine, "Prolonged Fever and Severe Hypercalcemia Revealing Systemic Extrapulmonary Sarcoidosis: A Lesson to be Learned," Oman Medical Journal, 2025, doi: 10.5001/omj.2025.10.