{
    "abstract": "We report a rare case of uterine sarcoidosis. A 28-year-old woman presented with periodic fever over 38\u00b0C for the past 5 months. One year prior, splenomegaly was noted. The serum angiotensin-converting enzyme levels were elevated; however, the lungs, lymph nodes, eyes, and skin appeared normal. Fluorine-18-fluorodeoxyglucose positron emission tomography revealed accumulations in the uterine body and spleen. Magnetic resonance imaging showed multiple irregular uterine masses. Intraoperative frozen section assessment of the uterine masses suggested sarcoma; therefore, total hysterectomy was performed. However, formalin-fixed specimens of the resected organs revealed noncaseating epithelioid cell granulomas in the myometrium and fallopian tubes, indicating the final diagnosis of uterine sarcoidosis. Clinicians should recognize that sarcoidosis can affect the uterus.",
    "authors": [
        {
            "affiliation": "Department of General Medicine, Oita University Faculty of Medicine, Oita, Japan.\nCenter for Community Medicine, Oita University Faculty of Medicine, Oita, Japan.",
            "firstname": "Rie",
            "initials": "R",
            "lastname": "Utsunomiya-Nishimizu"
        },
        {
            "affiliation": "Department of General Medicine, Oita University Faculty of Medicine, Oita, Japan.",
            "firstname": "Yuki",
            "initials": "Y",
            "lastname": "Tsutsui"
        },
        {
            "affiliation": "Department of General Medicine, Oita University Faculty of Medicine, Oita, Japan.\nCenter for Community Medicine, Oita University Faculty of Medicine, Oita, Japan.",
            "firstname": "Noboru",
            "initials": "N",
            "lastname": "Horinouchi"
        },
        {
            "affiliation": "Department of General Medicine, Oita University Faculty of Medicine, Oita, Japan.",
            "firstname": "Katsuhiko",
            "initials": "K",
            "lastname": "Yoshimura"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Oita University Faculty of Medicine, Oita, Japan.",
            "firstname": "Masakazu",
            "initials": "M",
            "lastname": "Nishida"
        },
        {
            "affiliation": "Department of General Medicine, Oita University Faculty of Medicine, Oita, Japan.\nCenter for Community Medicine, Oita University Faculty of Medicine, Oita, Japan.",
            "firstname": "Seiji",
            "initials": "S",
            "lastname": "Shiota"
        },
        {
            "affiliation": "Department of General Medicine, Oita University Faculty of Medicine, Oita, Japan.\nCenter for Community Medicine, Oita University Faculty of Medicine, Oita, Japan.",
            "firstname": "Eishi",
            "initials": "E",
            "lastname": "Miyazaki"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2025 Utsunomiya-Nishimizu et al.",
    "doi": "10.2147/IMCRJ.S501279\n10.1016/0020-7292(89)90612-7\n10.1007/s13224-020-01361-1\n10.1093/qjmed/hcg103\n10.1016/j.amjmed.2015.06.001\n10.1007/s00508-016-1083-9\n10.1309/QFKL-WRWB-KYFE-KX2E\n10.1097/00007611-200295080-00020\n10.5152/dir.2014.14053\n10.1164/ajrccm.164.10.2104046\n10.2967/jnumed.116.174391",
    "journal": "International medical case reports journal",
    "keywords": [
        "female genital tract",
        "fever of unknown origin",
        "fluorine-18-fluorodeoxyglucose-positron emission tomography",
        "sarcoidosis",
        "uterus"
    ],
    "methods": null,
    "publication_date": "2025-03-24",
    "pubmed_id": "40124770\n10430755\n2565262\n23762732\n8951143\n34898907\n12897340\n26093175\n27670857\n12090427\n12190226\n2667499\n25347940\n11734441\n27339873",
    "results": null,
    "title": "Uterine Manifestation of Sarcoidosis Diagnosed in the Setting of Fever of Unknown Origin.",
    "xml": "<Element 'PubmedArticle' at 0x788503e1b470>"
}