Evidence map›Paper›PMID 40260189›Full record

ArticleCase reports in medicine2025

Challenges in Diagnosing Necrotizing Sarcoid Granulomatosis: The First Case Reported From Indonesia.

Gurmeet Singh, Ramadhan Karsono, Soedarman Sjamsoe, Muhammad Rizki Triono, Rina La Distia Nora, Devi Felicia, Fajar Lamhot Gultom, Daniel Ruslim, Arif Sejati, Ralph Girson Gunarsa and 2 more

Abstract readCase Reports
In one paragraph

Article in Case reports in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Scoping out sarcoidosis: the evolving role of bronchoscopy.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Gurmeet SinghDivision of Respirology and Critical Illness, Universitas Indonesia Departemen Ilmu Penyakit Dalam, Rumah Sakit Dr. Cipto Mangunkusumo, Jakarta, Indonesia.ORCID https://orcid.org/0000-0002-0734-0660
Ramadhan KarsonoMochtar Riady Comprehensive Cancer Centre Siloam Hospitals Semanggi, Jakarta, Indonesia.
Soedarman SjamsoeJakarta Eye Center, Eye Hospitals & Clinics, Perhimpunan Dokter Spesialis Mata Indonesia (PERDAMI), Jakarta, Indonesia.
Muhammad Rizki TrionoDivision of Respirology and Critical Illness, Universitas Indonesia Departemen Ilmu Penyakit Dalam, Rumah Sakit Dr. Cipto Mangunkusumo, Jakarta, Indonesia.
Rina La Distia NoraDepartment of Ophthalmology, Rumah Sakit Dr. Cipto Mangunkusumo, Jakarta, Indonesia.
Devi FeliciaDepartment of Anatomical Pathology, Mochtar Riady Comprehensive Cancer Centre Siloam Hospitals Semanggi, Jakarta, Indonesia.
Fajar Lamhot GultomMochtar Riady Comprehensive Cancer Centre Siloam Hospitals Semanggi, Jakarta, Indonesia.
Daniel RuslimMochtar Riady Comprehensive Cancer Centre Siloam Hospitals Semanggi, Jakarta, Indonesia.
Arif SejatiMochtar Riady Comprehensive Cancer Centre Siloam Hospitals Semanggi, Jakarta, Indonesia.
Ralph Girson GunarsaDivison of Medical Hematology and Oncology, Department of Internal Medicine, Mochtar Riady Comprehensive Cancer Centre Siloam Hospitals Semanggi, Jakarta, Indonesia.
Ceva Wicaksono PitoyoDivision of Respirology and Critical Illness, Universitas Indonesia Departemen Ilmu Penyakit Dalam, Rumah Sakit Dr. Cipto Mangunkusumo, Jakarta, Indonesia.
Cleopas Martin RumendeDivision of Respirology and Critical Illness, Universitas Indonesia Departemen Ilmu Penyakit Dalam, Rumah Sakit Dr. Cipto Mangunkusumo, Jakarta, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Necrotizing sarcoid granulomatosis (NSG) is a rare disease characterized by granulomatous and necrotic features as well as vasculitis, and it primarily affects the lungs, with occasional extrapulmonary manifestations. The first documented case was in Jakarta, Indonesia. A 71-year-old male presented with prolonged fever, a neck mass, and multiple mediastinal lymphadenopathy. The disease was initially suspected as lung tuberculosis, but a surgical biopsy of the left thyroid lobe confirmed the NSG pattern. Treatment with oral prednisolone led to positive outcomes, as evidenced by radiological improvement at the 3-month follow-up. This case report aims to emphasize the challenges and the importance of clinician awareness in diagnosing NSG.

Indexed as

extrapulmonary sarcoidmalignancynecrotizing sarcoid granulomatosisthyroidtuberculosis

Identifiers

PMID40260189
PMCPMC12011462

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.