Un caso de Sarcoidosis Multisistémica peculiar / Sarcoidosis – an unusual multisystemic disease

Sarcoidosis is a chronic multisystemic disease of unknown etiology, characterized by the formation of non-caseous granulomas, most commonlywith lung, intrathoracic lymph node, skin and ocular involvement. We present the case of a 69-year-old male with hyperthyroidism due to a toxicnodule who underwent a thyroidectomy but kept losing weight. Afterwards he developed photopsias, hepatosplenomegaly and pancytopenia.Exams revealed non-caseous granulomatous involvement of thyroid, eye, liver and bone marrow. Corticosteroid therapy was initiated with overallimprovement but the patient developed hypercortisolism and hyperglycemia and did not tolerate steroid taping. Azathioprine was started, allowingimprovement with low dose steroids.This case illustrates an infrequent case of sarcoidosis with exclusive extra-thoracic disease, highlighting the rare bone marrow and thyroid involvement causing an unspecific presentation. (AU)

Recordando la parotiditis en la era del SARS-CoV-2 / Remembering Parotitis in SARS-CoV-2 era

New 2019-Coronavirus (SARS-CoV-2) pandemic is presenting daily diagnostic challenges to emergency departments (ED) doctors, especially as an increasing number of atypical clinical presentations have been reported, including acute sialadenitis (most of parotid). We present a case of a 46-year-old obese caucasian woman, with no relevant medical history, that presented in ED with complaints suggesting parotitis, with normal laboratory tests, at first with no virus isolation, confirmed by computed tomography. One week later, anosmia and dysgeusia were notice, and SARS-CoV-2 was tested and confirmed. Authors want to alert that SARS-CoV-2 should be excluded as parotitis etiology, highly important, especially in this pandemic phase, as a way of transmission control. (AU)