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The Pediatric Forum
October 1998

Unusual Pediatric Presentations of Sarcoidosis

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Arch Pediatr Adolesc Med. 1998;152(10):1037. doi:

The notable report by Zsolway et al1 about pediatric sarcoid beautifully illustrates how elusive this diagnosis can be. When performed, the test for angiotensin-converting enzyme can be very helpful. There is a more routine laboratory test that can flag the presence of granulomatous inflammation, and that is a differential cell count which reveals a relative monocytosis. This evidence is present in case 2; values for the differential cell count are not described in case 1 but would certainly be interesting. In the absence of bone marrow problems or laboratory error, the monocyte count can be most valuable in puzzling cases of inflammation.

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