Sarcoidosis and Monoclonal Gammopathy of Undetermined Significance (MGUS): A True Association or Just a Coincidence?
Joint Authors
Hassanein, Mohamed
Karapetyan, Lilit
Khan, Afshan
Rayamajhi, Supratik
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-25
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Sarcoidosis is a systemic inflammatory disease characterized by the presence of noncaseating granulomas in different organs.
Sarcoidosis associated with monoclonal gammopathy of undetermined significance (MGUS) is a rare finding with only 10 cases reported to date.
We describe a 79-year-old male patient who presented with dry mouth for 4 months.
Lip biopsy done prior to admission showed nonnecrotizing epithelioid cell granulomas.
On admission, laboratory analysis was significant for elevated calcium, decreased parathyroid hormone, increased erythrocyte sedimentation rate, undetectable parathyroid hormone-related peptide (PTHrp), mildly decreased 25-hydroxyvitamin D, elevated 1,25-dihydroxyvitamin D, elevated angiotensin converting enzyme, and positive Bence Jones protein in the urine.
Serum protein electrophoresis showed an elevated gamma globulin level at 38% and an IgG monoclonal gammopathy with an M-spike of 1.47.
Bone marrow biopsy was consistent with MGUS.
The patient showed significant improvement with steroids and was discharged with close follow-up from nephrology and oncology.
Salivary gland involvement in patients with sarcoidosis is a rare finding.
Our case is a valuable addition to the small number of cases described in the literature supporting an association between plasma cell disorders and sarcoidosis.
Larger prospective studies are needed to determine if a true association between the two diseases exists.
American Psychological Association (APA)
Hassanein, Mohamed& Karapetyan, Lilit& Khan, Afshan& Rayamajhi, Supratik. 2018. Sarcoidosis and Monoclonal Gammopathy of Undetermined Significance (MGUS): A True Association or Just a Coincidence?. Case Reports in Hematology،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1143807
Modern Language Association (MLA)
Hassanein, Mohamed…[et al.]. Sarcoidosis and Monoclonal Gammopathy of Undetermined Significance (MGUS): A True Association or Just a Coincidence?. Case Reports in Hematology No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1143807
American Medical Association (AMA)
Hassanein, Mohamed& Karapetyan, Lilit& Khan, Afshan& Rayamajhi, Supratik. Sarcoidosis and Monoclonal Gammopathy of Undetermined Significance (MGUS): A True Association or Just a Coincidence?. Case Reports in Hematology. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1143807
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143807