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Case Reports in Rheumatology
Volume 2012 (2012), Article ID 834758, 2 pages
http://dx.doi.org/10.1155/2012/834758
Case Report

Sarcoidosis Presenting as Massive Splenic Infarction

Rheumatology Department, Wexham Park Hospital, Heatherwood and Wexham Park Hospitals NHS Foundation Trust, Wexham, Slough, Berkshire SL2 4HL, UK

Received 29 April 2012; Accepted 24 June 2012

Academic Editors: R. Cevik and P. Njobvu

Copyright © 2012 Ishita Patel 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.

Abstract

Sarcoidosis is a multisystem granulomatous disease of unknown aetiology. Granulomatous inflammation involving the spleen is common and associated with splenomegaly. However, massive splenomegaly is a rare occurrence. Infrequently massive splenomegaly can result in splenic infarction. Massive splenic infarction in sarcoidosis has, to our knowledge, not been previously reported. We present a case of a woman presenting with massive splenic infarction and sarcoidosis confirmed by granulomatous inflammation of the liver.