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{
    "pk": 52254,
    "title": "Case Report: Acute Dyspnea in a Young Female",
    "subtitle": null,
    "abstract": "<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><span style=\"font-family: Calibri, sans-serif; color: black;\">Sarcoidosis is a multisystem inflammatory disease characterized by non-caseating granulomas, primarily affecting the lungs but also involving other organs such as the skin, eyes, and heart.<sup>1</sup><span class=\"Apple-converted-space\"> </span>Due to its variable presentation, diagnosing sarcoidosis in the emergency department (ED) can be challenging.<strong><span class=\"Apple-converted-space\"> </span></strong>We report a case of a 28-year-old African American female presenting with acute dyspnea on exertion, significant weight loss, and multiple cutaneous nodules. Her diagnostic workup revealed hypercalcemia, diffuse pulmonary nodules, and extensive lymphadenopathy on imaging. Biopsy of her eyelid lesions confirmed non-caseating granulomas, leading to a diagnosis of sarcoidosis. She was initiated on high-dose steroids and evaluated for further immunologic therapy. Sarcoidosis presents a diagnostic challenge due to its nonspecific symptoms, often mimicking more common conditions.<sup>2</sup><span class=\"Apple-converted-space\"> </span>Early recognition in the ED is critical to prevent disease progression. This case underscores the importance of considering sarcoidosis in patients with unexplained systemic symptoms and highlights the need for a multidisciplinary approach to management.</span></p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "sarcoidosis"
        },
        {
            "word": "respiratory distress"
        },
        {
            "word": "emergency medicine"
        }
    ],
    "section": "Visual EM",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9h78k2sc",
    "frozenauthors": [
        {
            "first_name": "Brian",
            "middle_name": "",
            "last_name": "Kenny",
            "name_suffix": "DO MBA",
            "institution": "Rutgers New Jersey Medical School",
            "department": "Department of Emergency Medicine"
        },
        {
            "first_name": "Marwa",
            "middle_name": "",
            "last_name": "Ali",
            "name_suffix": "MD",
            "institution": "Rutgers New Jersey Medical School",
            "department": "Department of Emergency Medicine"
        }
    ],
    "date_submitted": "2025-03-08T21:27:39+03:00",
    "date_accepted": "2026-02-16T20:42:39.039229+03:00",
    "date_published": "2026-04-30T15:50:00+03:00",
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        "label": "PDF",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_jetem/article/52254/galley/49514/download/"
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}