{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:40:19Z","timestamp":1756363219405,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,8,29]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>An 82-year-old woman admitted following a 4-week history of feeling unwell, abdominal pain and constipation. Initial investigations revealed severe hypercalcaemia with suppressed parathyroid hormone and elevated 1,25-dihydroxycholecalciferol. ACE was also raised. CT scans of the head, chest, abdomen and pelvis were normal. Fluorodeoxyglucose-positron emission tomography scan showed metabolically active right axillary lymphadenopathy which when biopsied under ultrasound guidance confirmed sarcoidosis. The patient was started on high-dose prednisolone with resolution of symptoms within 2\u2009weeks. Isolated lymph node sarcoidosis is uncommon, and the reported usual sites are lymph nodes in the head and neck. Rarely has it been reported in the axillary lymph nodes.<\/jats:p>","DOI":"10.1136\/bcr-2021-244775","type":"journal-article","created":{"date-parts":[[2021,9,6]],"date-time":"2021-09-06T12:19:05Z","timestamp":1630930745000},"page":"e244775","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Symptomatic isolated axillary lymph node sarcoidosis: an unusual presentation"],"prefix":"10.1136","volume":"14","author":[{"given":"Nosakhare Paul","family":"Ilerhunmwuwa","sequence":"first","affiliation":[{"name":"Diabetes and Endocrinology, Nottingham University Hospitals NHS Trust, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheena","family":"Thayyil","sequence":"additional","affiliation":[{"name":"Diabetes and Endocrinology, Nottingham University Hospitals NHS Trust, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hrushikesh","family":"Divyateja","sequence":"additional","affiliation":[{"name":"Chemical Pathology, Nottingham University Hospitals NHS Trust, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ravikanth","family":"Gouni","sequence":"additional","affiliation":[{"name":"Queen's Medical Centre Nottingham University Hospital NHS Trust, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,9,6]]},"reference":[{"doi-asserted-by":"publisher","key":"2025082723002925000_14.9.e244775.1","DOI":"10.1016\/S0140-6736(13)60680-7"},{"doi-asserted-by":"publisher","key":"2025082723002925000_14.9.e244775.2","DOI":"10.1093\/oxfordjournals.aje.a009096"},{"key":"2025082723002925000_14.9.e244775.3","first-page":"61","article-title":"The frequency of sarcoidosis in Finland and Hokkaido, Japan. A comparative epidemiological study","volume":"12","author":"Pietinalho","year":"1995","journal-title":"Sarcoidosis"},{"key":"2025082723002925000_14.9.e244775.4","doi-asserted-by":"crossref","first-page":"766","DOI":"10.3390\/cells10040766","article-title":"Sarcoidosis: a clinical overview from symptoms to diagnosis","volume":"10","author":"S\u00e8ve","year":"2021","journal-title":"Cells"},{"key":"2025082723002925000_14.9.e244775.5","doi-asserted-by":"crossref","first-page":"083","DOI":"10.1055\/s-2007-970335","article-title":"Extrapulmonary sarcoidosis","volume":"28","author":"Judson","year":"2007","journal-title":"Semin Respir Crit Care Med"},{"key":"2025082723002925000_14.9.e244775.6","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1089\/lap.2005.15.160","article-title":"Laparoscopic splenectomy for isolated sarcoidosis of the spleen","volume":"15","author":"Zia","year":"2005","journal-title":"J Laparoendosc Adv Surg Tech A"},{"doi-asserted-by":"publisher","key":"2025082723002925000_14.9.e244775.7","DOI":"10.1016\/S0895-4356(99)00142-0"},{"doi-asserted-by":"publisher","key":"2025082723002925000_14.9.e244775.8","DOI":"10.1097\/01.rlu.0000255268.64309.8e"},{"doi-asserted-by":"publisher","key":"2025082723002925000_14.9.e244775.9","DOI":"10.1164\/ajrccm.164.10.2104046"},{"key":"2025082723002925000_14.9.e244775.10","first-page":"37","article-title":"Atypical sarcoidosis: case reports and review of the literature","volume":"13 Suppl 1","author":"Giovinale","year":"2009","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"2025082723002925000_14.9.e244775.11","doi-asserted-by":"crossref","first-page":"413","DOI":"10.4103\/0970-2113.142154","article-title":"An extremely unusual presentation of isolated extrathoracic sarcoidosis of submandibular lymph node in a child","volume":"31","author":"Agrawal","year":"2014","journal-title":"Lung India"},{"key":"2025082723002925000_14.9.e244775.12","first-page":"29","article-title":"Sarcoidosis: epidemiology and prognosis. A 15-year European study","volume":"130","author":"Hillerdal","year":"1984","journal-title":"Am Rev Respir Dis"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-244775","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:00:41Z","timestamp":1756360841000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-244775"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":12,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,9,6]]},"published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1136\/bcr-2021-244775"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-244775","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}