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Scrotal Sarcoidosis: A Case Report With Radiological Insights.

Cureus

October 2024

Urology, National Health Service (NHS) Greater Glasgow and Clyde, Glasgow, GBR.

Sarcoidosis is an idiopathic inflammatory systemic disorder that is believed to be caused by a mixture of environmental factors and genetic predisposition. Less than 50 cases of testicular sarcoidosis have been presented in the literature over the last two decades, making it an extremely rare form of the disease. Furthermore, the radiological pathognomonic features are less well documented.

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[Pulmonary and testicular sarcoidosis revealed by optic disc edema].

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Service d'Ophtalmologie, CHR Citadelle, Liège, Belgique.

Sarcoidosis is a chronic inflammatory granulomatous disease of unknown aetiology. Although the lungs and thoracic lymph nodes are the most frequently affected structures, every tissue can be affected. Ophthalmological involvement occurs in 25 % of cases.

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Sarcoidosis is a disease characterised primarily by lung tissue involvement. Extrapulmonary involvement, particularly in the genitourinary tract, is extremely rare, particularly when it comes to primary disease detection in this location. The gold standard in establishing a definitive diagnosis of sarcoidosis is a combination of the clinical picture, the results of imaging methods, and histopathological examination from the biopsy taken (thus ruling out other causes of granulomatous inflammation).

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Sarcoidosis is a multisystem noncaseating granulomatous disease, which primarily involves the lungs, skin, and lymph nodes. In this case, we describe a 49-year-old Caucasian male presenting with weakness and symptomatic hypercalcemia. Initial workup revealed multiple testicular hypoechoic lesions on ultrasound and pulmonary nodules with hilar lymphadenopathy on a CT scan.

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