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Diagnosis of Sarcoidosis : When Is a Peek Good Enough?

Robert P. Baughman, MD, FCCP; Michael C. Iannuzzi, MD, FCCP
Author and Funding Information

Affiliations: Cincinnati, OH 
 ,  Detroit, MI 
 ,  Dr. Baughman is Professor of Medicine from the Division of Pulmonary and Critical Care Medicine, University of Cincinnati Medical Center; and Dr. Iannuzzi is Professor of Medicine from Pulmonary and Critical Care Medicine, Henry Ford Health Sciences Center.

Correspondence to: Robert P. Baughman, MD, FCCP, University of Cincinnati Medical Center, 231 Bethesda Ave, Room 6004, Cincinnati, OH 45267-0564; e-mail: bob.baughman@uc.edu



Chest. 2000;117(4):931-932. doi:10.1378/chest.117.4.931
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More than 120 years ago, Jonathan Hutchinson recorded the first case of sarcoidosis,1 which he called “a case of livid papillary psoriasis.” Hutchinson’s patient presented with purplish skin lesions and “gout” and later died of renal failure. The renal failure was attributed to gout, but could have been caused by persistent hypercalemia, hypercalcuria, or multiple kidney stones due to sarcoidosis. Despite advances in diagnostic techniques made since Hutchinson’s time, the problem of distinguishing organ dysfunction due to sarcoidosis from other causes remains.

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