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Peer-reviewedCC BY-NC 4.0Journal of Clinical Practice and Research

Recurrent Sarcoidosis Presenting With Bilateral Leg Edema: A Case Report

4 affiliations
  1. 1Midwestern University Chicago College of Osteopathic Medicine, Illinois, USA
  2. 2Department of the History of Medicine and Ethics, Erciyes University Faculty of Medicine, Kayseri, Türkiye
  3. 3Department of Internal Medicine, University of Central Florida College of Medicine, Florida, USA
  4. 4Lake Erie College of Osteopathic Medicine, Florida, USA

Abstract

Background: Bilateral lower extremity edema may serve as an early clinical manifestation of pulmonary sarcoidosis. Identifying sarcoidosis as the underlying cause can be challenging in patients with or without a prior history of the disease, as lower extremity edema is not typically considered part of its clinical spectrum.

Case Report: A 63-year-old man presented with a complex medical history, including non-Hodgkin lymphoma, bilateral renal cell carcinoma, colon cancer, and pleomorphic sarcoma of the upper extremity. He also had a history of recurrent pulmonary sarcoidosis. He reported a 6-month history of bilateral pitting lower extremity edema that developed several months before the onset of dyspnea.

Conclusion: In patients with multiple comorbidities, recognizing sarcoidosis as a potential cause of bilateral lower extremity edema requires careful exclusion of systemic and malignant etiologies. Sarcoidosis should be considered when more common causes have been excluded.

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BibTeX
@article{draves2026recurrent,
  title = {{Recurrent Sarcoidosis Presenting With Bilateral Leg Edema: A Case Report}},
  author = {Jacob Draves and Halil Tekiner and Steven H. Yale and Eileen S. Yale},
  journal = {Journal of Clinical Practice and Research},
  year = {2026},
  month = jul,
  doi = {10.14744/cpr.2026.82224},
  url = {https://doi.org/10.14744/cpr.2026.82224},
  note = {CC BY-NC 4.0},
}
RIS
TY  - JOUR
TI  - Recurrent Sarcoidosis Presenting With Bilateral Leg Edema: A Case Report
AU  - Jacob Draves
AU  - Halil Tekiner
AU  - Steven H. Yale
AU  - Eileen S. Yale
PY  - 2026
DA  - 2026/07/20
JO  - Journal of Clinical Practice and Research
DO  - 10.14744/cpr.2026.82224
UR  - https://doi.org/10.14744/cpr.2026.82224
AB  - Background: Bilateral lower extremity edema may serve as an early clinical manifestation of pulmonary sarcoidosis. Identifying sarcoidosis as the underlying cause can be challenging in patients with or without a prior history of the disease, as lower extremity edema is not typically considered part of its clinical spectrum.  Case Report: A 63-year-old man presented with a complex medical history, including non-Hodgkin lymphoma, bilateral renal cell carcinoma, colon cancer, and pleomorphic sarcoma of the upper extremity. He also had a history of recurrent pulmonary sarcoidosis. He reported a 6-month history of bilateral pitting lower extremity edema that developed several months before the onset of dyspnea.  Conclusion: In patients with multiple comorbidities, recognizing sarcoidosis as a potential cause of bilateral lower extremity edema requires careful exclusion of systemic and malignant etiologies. Sarcoidosis should be considered when more common causes have been excluded.
SN  - 2980-2156
ER  -