Subclinical Pulmonary Cavitary Lesion and Ulcerating Leg Lesion: A Rare Case Report of Sarcoidosis

Abstract

Sarcoidosis is a granulomatous inflammatory disorder that affects multiple organs, and lung being the most commonly affected organ. Typically, pulmonary sarcoidosis manifests radiologically as bilateral hilar and mediastinal lymphadenopathy, reticulonodular opacities, consolidation, pleural effusion, but may also present as a cavitary lesion. We hereby report an incidental finding of asymptomatic pulmonary cavitary sarcoidosis in a female patient who was referred for the evaluation of leg ulcer before her elective cholecystectomy. This case reports that an ulcerating leg lesion may be over-looked by the physicians for an underlying infection in the absence of any systemic features, and enlightens the importance of ruling out inflammatory and/or autoimmune disorder(s) before administering antibiotics and antifungals for treating skin lesion.