RT Journal Article SR Electronic T1 Necrotizing Sarcoid Granulomatosis With an Uncommon Manifestation: Clinicopathological Features and Review of Literature JF Respiratory Care FD American Association for Respiratory Care SP e132 OP e136 DO 10.4187/respcare.02842 VO 59 IS 9 A1 Giraudo, Chiara A1 Nannini, Nazarena A1 Balestro, Elisabetta A1 Meneghin, Alessia A1 Lunardi, Francesca A1 Polverosi, Roberta A1 Calabrese, Fiorella YR 2014 UL http://rc.rcjournal.com/content/59/9/e132.abstract AB We report a rare case of an incidental diagnosis of necrotizing sarcoid granulomatosis (NSG) in a 60-y-old non-smoking male. The patient was admitted to the hospital for sudden back pain. Chest x-ray revealed areas of parenchymal consolidation and high-resolution computed tomography demonstrated a pulmonary nodular pattern with no lymph node enlargement. All laboratory and pulmonary function tests were normal. Bronchoscopy with bronchoalveolar lavage showed no sign of infection or specific inflammation. The diagnosis of NSG was made by histopathological examination of a surgical lung biopsy and by excluding other causes of granulomatous disease. In paucisymptomatic/asymptomatic patients, as in our case, therapy is not necessary, with a good prognosis and complete recovery. NSG is a rare systemic disease similar to sarcoidosis and Wegener's granulomatosis with a benign clinical course and should always be considered for patients with nodular pulmonary lesions even with subclinical or uncommon features.