Pulmonary sarcoidosis with bilateral recurrent laryngeal nerve injury

Abstract

Sarcoidosis is a multisystem granulematosis of unknown ethology which occurs predominantly in young people and affects mediastinal lymph nodes and their parenchyma. Sarcoidosis is the most common among diffuse interstitial lung diseases. The systemic character of the injury leads to involvement of a number of organs into the pathologic process and polymorphism of the clinical manifestations of the disease, which causes challenges in the diagnosis and treatment of patients. In recent years, along with increased sarcoidosis morbidity, there has been noted pathomorphisis of the disease with growing incidence of the extensive forms of sarcoidosis, damage to the central and peripheral nervous systems, internal organs. The article considers a clinical case of sarcoidosis with atypical course. The disease was manifested in damage to the peripheral nervous system. The article discusses the features of the course and difficulties in the diagnosis of sarcoidosis in the patient. It has been shown that the histological study, which is the gold standard of granulematosis verification, was not informative at the early period of the disease.