Case Report
Sarcoidosis and Monoclonal Gammopathy of Undetermined Significance (MGUS): A True Association or Just a Coincidence?
Table 2
Cases with sarcoidosis and MGUS reported in the literature.
| Author | Year, country | Age/sex | Ethnicity/race | First Dx (Sarcoidosis/MGUS)? | Latency | Monoclonal protein type | Progression to MM? | Prognosis/outcome |
| Antela Lopez [5] | 1992, Spain | 68 F | UNK | Sarcoidosis | 3 YRS | IgM | UNK | Treated with prednisone, diagnosed with NHL 3 YRS later, treated with chemotherapy ⟶ complete remission | Sharma et al. [6] | 1992, USA | 53 F | AA | Sarcoidosis | 17 YRS | IgG | N | Stable 16 YRS later | Sharma et al. [6] | 1992, USA | 69 F | Caucasian | Diagnosed same time | UNK | IgG | N | UNK | Berner et al [7] | 1999, Germany | 67 M | UNK | Diagnosed same time. Diagnosed with renal sarcoidosis | UNK | IgG | N | Normalization of kidney function with prednisolone therapy | Sen et al [8] | 2002, USA | 49 F | AA | Diagnosed same time | UNK | IgG | Y (4 YRS) | Stable 30 MS later | Saad et al. [9] | 2009, Israel | 67 F | ME/Egyptian | Sarcoidosis | 3 YRS | IgG | UNK | UNK | Ghafour and Almakki [10] | 2014, USA | 69 M | UNK | MGUS. Later diagnosed with renal sarcoidosis | 1 YRS | IgG | N | UNK | Guboutan et al. [11] | 2016, USA | 57 F | Caucasian | MGUS | 4 YRS | UNK | N | Treated with steroid taper for 4 MS. Resolution of symptoms 2 YRS later | Abdulai and Englert [12] | 2016, USA | 58 M | Caucasian | MGUS. Later diagnosed with neurosarcoidosis | 2 MS | IgG | N | UNK | Armaral et al. [13] | 2017, Brazil | 54 F | UNK | Diagnosed same time | UNK | IgG | N | UNK |
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Abbreviations: M: male; F: female; AA: African American; ME: Middle Eastern; UNK: unknown; not mentioned. Y: yes; N: no; YRS: years; MS: months; NHL: non-Hodgkin’s lymphoma. MGUS: Monoclonal gammopathy of undetermined significance.
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