PubMed · 827625
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Y Tokuda. 1976-11-10. [Nodules].. https://pubmed.ncbi.nlm.nih.gov/827625/
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Ultrasound of a patent urachus has been well described. However, ultrasound of the other congenital abnormalities affecting the umbilicus has not. Two cases are described, one of a vitelline (omphalomesenteric) duct and one of an umbilical granuloma, in which the ultrasound findings guided the child's management, preventing a minilaparotomy.
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OBJECTIVE: The purpose of this case report is to describe the possible initial presentation of sarcoidosis as generalized prolonged pruritus. METHODS: In a patient presenting with prolonged generalized pruritus who also had selective elevation of IgA, the diagnosis of sarcoidosis was confirmed by bilateral interstitial infiltrates on chest radiograph, elevated angiotensin-converting enzyme, and dermal granuloma on skin biopsy from a recent rash. CONCLUSION: Sarcoidosis should be added to the list of diseases associated with prolonged pruritus and routine chest radiographs should be obtained in these patients.