A rare case of symptomatic gastric sarcoidosis.
### Learning Point for Clinicians

Always think about sarcoidosis in patient with multi-organ involvement. Endoscopic appearance of gastric sarcoidosis can be normal. The diagnosis requires biopsy.

A 65-year-old Caucasian male presented to our institute with a 3-week history of anorexia, nausea and watery diarrhea accompanied by a 1-week history of fever, dry cough and mild shortness of breath. Physical examination was only remarkable for red subcutaneous nodules at left thigh. Initial laboratory investigations, including complete blood cell count, blood chemistry, liver function test and serum angiotensin converting enzyme, were within normal range. His stool studies including stool culture, stool for Giardia antigen, Cryptosporidium antigen and Clostridium difficile toxins were all negative. His initial chest X-ray was unremarkable but his computed tomography …