Sarcoidosis, a chronic disorder of unknown cause, is uncommon in childhood. We describe 2 presentations, previously unreported, that demonstrate the multisystem nature of this disorder.
A 6-year-old African American girl was admitted to the hospital for evaluation of recurrent fever and swelling of the left lower extremity. She had been well until 3.5 years previously when she had fever and a cough. A consolidation in the left lower lobe was found on a chest radiograph. Although her fever and respiratory symptoms resolved with antibiotic therapy, she developed crampy abdominal pain and, 2 weeks later, fever to 40.1°C. She was hospitalized again for evaluation of a persistent fever. Findings included an Escherichia coli urinary tract infection and serologic evidence of an acute Epstein-Barr virus infection.
Zsolway K, Sinai LN, Magnusson M, Tunnessen, WW. Two Unusual Pediatric Presentations of Sarcoidosis. Arch Pediatr Adolesc Med. 1998;152(4):410-411. doi:10.1001/archpedi.152.4.410