Chief Cmplaint: Fatigue
a. History: African descent
b. Further History: Dyspnea, nonproductive cough, and chest pain..
c. Chest X-Ray: Bilateral hilar lymphadenopathy and diffuse reticular densities in the interstitium of the lung.
d. Lab Studies: polyclonal hypergammaglobulinemia, hypercalcemia, and increased serum angiotensin-converting enzyme.
Diagnosis
Sarcoidosis
A 25-year-old African American woman presents with fatigue, dyspnea, nonproductive cough, and chest pain. She does not smoke. A chest radiograph reveals prominent bilateral hilar lymphadenopathy (“potato nodules”) and diffuse reticular densities in the interstitium of the lung. Laboratory studies reveal polyclonal hypergammaglobulinemia, hypercalcemia, and increased serum angiotensin-converting enzyme. Which of the following is the most likely diagnosis?
A. ARDS
B. Adenocarcinoma of the lung
C. Eosinophilic granuloma
D. Idiopathic pulmonary fibrosis
E. Sarcoidosis