{
  "abstract": "Sarcoidosis is a multisystem granulomatous disease that can mimic tuberculosis (TB) or lymphoma, particularly in endemic regions. We report a man in his late 50s with chronic cough, weight loss and systemic features whose CT showed mediastinal and abdominal lymphadenopathy with splenic lesions. Histology from endobronchial ultrasound-guided transbronchial cryobiopsy revealed non-caseating granulomas, confirming sarcoidosis and excluding TB and malignancy. He responded well to corticosteroids with methotrexate as a steroid-sparing agent. This case emphasises the diagnostic challenge of sarcoidosis in TB-endemic regions and highlights the added value of cryobiopsy in obtaining adequate tissue for diagnosis.",
  "authors": [
    {
      "affiliations": [
        "Department of Internal Medicine, Hospital Ampang, Ampang Jaya, Malaysia"
      ],
      "name": "Sze Kye Teoh"
    },
    {
      "affiliations": [
        "Internal Medicine, Sarawak General Hospital, Kuching, Malaysia"
      ],
      "name": "Ching Bing Jordan Hoo"
    },
    {
      "affiliations": [
        "Department of Pathology, Sarawak Government, Kuching, Malaysia"
      ],
      "name": "Noor Afidah Abdullah"
    },
    {
      "affiliations": [
        "Division of Respiratory, Department of Medicine, Sarawak General Hospital, Kuching, Malaysia"
      ],
      "name": "Sze Shyang Kho"
    }
  ],
  "title": "Systemic sarcoidosis in a TB-endemic region: diagnostic role of linear endobronchial ultrasound mediastinal lymph node cryobiopsy and stepwise management approach",
  "uid": "aef4fe9d-2311-597e-9b60-78999285ea72"
}