Peritoneal sarcoidosis

Peritoneal sarcoidosis is rare and can present with ascites (240). The CA-125 serum level may be elevated and therefore, this entity may be confused with ovarian carcinoma (241). Very rarely sarcoidosis may involve the gastrointestinal tract (242). Any portion of the gastrointestinal tract may be involved (242), and care must be taken to distinguish it from the granulomatous inflammation from Crohn s disease (242,243). Rarely sarcoidosis can affect the thyroid gland, presenting as thyroiditis, a nodule, or mass (244,245). 

Uthman IW, Bizri AR, Shahh NS, et al. Peritoneal sarcoidosis case report and review of the Hterature. Semin Arthritis Rheum 1999 28 351 354. 

Bemadak J, Spina JC, Curros ML, et al. Case report peritoneal sarcoidosis in an inusual location. Semin Respir Crit Care Med 2002 23 597-600. 

An unusual reaction to isoniazid was described by Kvale and Parks (17 ). A woman with sarcoidosis, who was given isoniazid prophylactically, developed signs of peritonitis 4 days after starting treatment. The condition gradually resolved within 3 days of withdrawal of the isoniazid. Several subsequent challenge doses produced identical signs and symptoms. The patient was later treated uneventfully for 2 years with ethambutol and rifampicin. 

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