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1
Sarcoidosis typically presents with bilateral hilar or mediastinal lymphadenopathy, while unilateral hilar involvement is uncommon and can mimic malignancy.
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2
A 53-year-old woman with unilateral hilar mass and mediastinal lymphadenopathy was diagnosed with sarcoidosis after non-diagnostic initial EBUS-TBNA.
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3
Laboratory tests revealed anemia, elevated inflammatory markers, low serum iron, and low T3 levels, indicating systemic inflammation.
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4
Repeat EBUS-TBNA targeting different lymph node stations confirmed non-caseating granulomatous inflammation, leading to a sarcoidosis diagnosis.
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5
Treatment with intravenous iron and inhaled budesonide-formoterol resulted in regression of lesions and normalization of hemoglobin and T3 levels.
