2017 Volume 91 Issue 1 Pages 102-105
A 69-year-old man was referred to another hospital for consultation of atrophic gastritisdetected by upper gastrointestinal series performed at a medical checkup. Malignant lymphoma was suspected on esophagogastroduodenoscopy, and he was referred to our hospital. Twenty-nine years previously, he had been diagnosed with pulmonary sarcoidosis. On esophagogastroduodenoscopy at our hospital, two lesions were detected in the anterior wall of the lower gastric body and posterior wall of the middle gastric body. The mucosa over each lesion had a reddish scar and a slightly elevated edge. Histopathology of biopsy specimens showed noncaseating epithelioid cell granuloma. Gastric sarcoidosis was diagnosed. On blood examination, serum calcium, angiotensin-converting enzyme (ACE) , lysozyme and γ-globulin levels were normal. Interferon-γ for pulmonary tuberculosis was negative. Soluble interleukin-2 receptor level was 1020 U/ml and was higher than four months previously. On follow-up esophagogastroduodenoscopy, the number of lesions had increased in the posterior wall of the fornix. He was asymptomatic. Helicobacter pylori infection was eradicated with triple therapy. He was also treated with a proton pump inhibitor, and the lesions did not increase in size and number.
