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Sarcoidosis is a multisystemic, granulomatous disease with an unknown etiology. Although granulomas suggest an etiology related to infectious, and organic agents, their etiologies are still unknown. A 16 year-old girl referred with complaints of cough, malaise, and painful lesions on legs lasting for 4 months. On physical examination, no pathological sign was observed, except an erythema nodosum-like purple lesion, the largest one being 5 cm in diameter was detected on the tibial region. Erythrocyte sedimentation rate was 60/1 hour and CRP 15.66 mg/L. Angiotension converting enzyme level was elevated. High resolution thoracal CT results were reported as multiple mediastinal lymphadenopaties and micronodular parenchymal infiltrations at right middle and lower lobes. In biopsy, taken during bronchoscopy, granulamatous lesions were observed. Patient was suggestively diagnosed as sarcoidosis with these findings and followed up without treatment because of relatively lesser severity of these findings. Sarcoidosis is a rare disease of childhood, and can spontaneously resolve or become chronic. Follow-up of the patients with physical examination and respiratory function tests are necessary. Steroids or methotrexate can be used for the treatment according to the clinical severity of the disease, but results are controversial. Since it a rarely seen condition, we want to emphasize the importance of sarcoidosis and review the literature. [ABSTRACT FROM AUTHOR]

Sarcoidosis is a multisystemic, granulomatous disease with an unknown etiology. Although granulomas suggest an etiology related to infectious, and organic agents, their etiologies are still unknown. A 16 year-old girl referred with complaints of cough, malaise, and painful lesions on legs lasting for 4 months. On physical examination, no pathological sign was observed, except an erythema nodosum-like purple lesion, the largest one being 5 cm in diameter was detected on the tibial region. Erythrocyte sedimentation rate was 60/1 hour and CRP 15.66 mg/L. Angiotension converting enzyme level was elevated. High resolution thoracal CT results were reported as multiple mediastinal lymphadenopaties and micronodular parenchymal infiltrations at right middle and lower lobes. In biopsy, taken during bronchoscopy, granulamatous lesions were observed. Patient was suggestively diagnosed as sarcoidosis with these findings and followed up without treatment because of relatively lesser severity of these findings. Sarcoidosis is a rare disease of childhood, and can spontaneously resolve or become chronic. Follow-up of the patients with physical examination and respiratory function tests are necessary. Steroids or methotrexate can be used for the treatment according to the clinical severity of the disease, but results are controversial. Since it a rarely seen condition, we want to emphasize the importance of sarcoidosis and review the literature. [ABSTRACT FROM AUTHOR]