Systemic Sarcoidosis Unmasked by Cushing’s Disease Surgical Treatment

Figure 1

(a) Coronal MRI scan showing the pituitary microadenoma. (b) CT scan: multiple enlarged lymph nodes in the hilar-mediastinal region bilaterally. (c) 25x magnification: hematoxylin and eosin. Presence in the deep dermis and hypodermis of numerous epithelioid granulomas. (d) 100x magnification: hematoxylin and eosin. (e) Urinary free cortisol (UFC) and adrenocorticotropic hormone (ACTH) levels trend. Sarcoidosis nodules were present approximately from the 12th to the 17th month after surgery.

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