SUBCUTANEOUS NODE of SARCOIDOSIS with a 6 YEAR HISTORY of LUNG TUBERCULOSIS, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

A 33 yo male patient, with a long history of 6 years ago including fever, cough, and his chest xray and lung CT  suspected tuberculosis of the lung and hilar lymph nodes.

After being received antituberculosis drugs for one year,  he detected himself many small subcutaneous nodules which are hard, painless at the neck, thorax, and arms.

Ultrasound shows that are hypoechoic nodules of  2-3 cm, ellipsoid. On Doppler color, it is like the vascular hilus of the big lymp node.

Blood tests only have eosinophil elevating.

The first biopsy of neck lymph node in  2006 was tuberculosis ; the second biopsy  of submandibular node was chronic inflamation . And the third biopsy at the left arm subcutaneous nodule with previous ultrasound image  is SARCOIDOSIS (BBS)..with histoimmunostaining.

Summary:
THE CASE of FEVER, LYMPHADENOPATHY, SUBCUTANEOUS NODULE for  6 year progressing is SARCOIDOSIS. IT IS  A MISDIAGNOSING AS TUBERCULOSIS OR LYMPHOMA.