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Case Reports in Gastrointestinal Medicine
Volume 2013, Article ID 260704, 3 pages
Case Report

Gastric Sarcoidosis: A Rare Clinical Presentation

1Department of Internal Medicine, Michigan State University, 804 Service Road, East Lansing, MI 48824, USA
2Indiana University Health Physicians, Community Howard Regional Health, Kokomo, IN, USA

Received 27 September 2013; Accepted 5 November 2013

Academic Editors: G. Bassotti, I. Siddique, and H. Sugimura

Copyright © 2013 Hemasri Tokala et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Gastrointestinal (GI) sarcoidosis is a very rare disease, which clinically presents along with systemic disease or as an isolated finding. Gastric sarcoidosis is the most common form of GI sarcoidosis. Symptomatic gastric sarcoidosis is rare and only few case reports have been described in the literature with well-documented histological evidence of noncaseating granulomas. We present an interesting case of gastric sarcoidosis in a 39-year-old Caucasian man with symptoms of epigastric pain and profound weight loss. His endoscopic gastric mucosal biopsies revealed noncaseating granulomas consistent with gastric sarcoidosis. Treatment with oral steroids alleviated his symptoms with no recurrence in 2 years. Gastric sarcoidosis should be considered in patients with history of sarcoidosis and GI symptoms.