Atypical Fibrotic-Mimicking Pulmonary Sarcoidosis in a Young Female: The Basal Conundrum.

Authors

Ali Gohar, Aemin Tariq, Arham Saif, Asma Farooq, Esha Aziz, Muhammad Husnain Ahmad

Published in

Respirology case reports. Volume 14. Issue 9. Pages e70729. Epub Aug 28, 2026.

Abstract

Pulmonary sarcoidosis is a systemic inflammatory disease characterized by the formation of non-caseating granulomas; it typically presents with bilateral hilar lymphadenopathy and upper-lobe predominant interstitial infiltrates. However, atypical radiological presentations can mimic fibrotic interstitial lung diseases, posing a significant diagnostic challenge. We present a case of pulmonary sarcoidosis in a young female who had a confounding basal-peripheral phenotype, eventually diagnosed through endobronchial biopsy showing non-necrotizing granulomas with asteroid bodies.

PMID:
42668829
Bibliographic data and abstract were imported from PubMed on 30 Aug 2026.

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