A case of sarcoidosis accompanied by azoospermia.

Cho, Young Soo; Park, Jae Nam; Suh, Jung Eun; Rhu, Nam Soo; Cho, Dong Ill; Kim, Jae Won

doi:1991.38.2.179

Tuberc Respir Dis > Volume 38(2); 1991 > Article

Case Report

Tuberculosis and Respiratory Diseases 1991;38(2):179-185.
DOI: https://doi.org/10.4046/trd.1991.38.2.179 Published online June 1, 1991.

A case of sarcoidosis accompanied by azoospermia.

Young Soo Cho, Jae Nam Park, Jung Eun Suh, Nam Soo Rhu, Dong Ill Cho, Jae Won Kim

Department of Chest Medicine, National Medical Center, Seoul, Korea

Abstract

We experienced a case of sarcoidosis accompanied with azoospermia due to the involvement of epididymis, besides the generalized involvement of the paratracheal and hilar lymph nodes, skin and lung. Final diagnosis of sarcoidosis was established by pathological evidence of noncaseating granuloma from the involved organs, typical radiological findings and consistent clinical features. A movable, nontender 1. 5 x 0.8 cm sized nodule was palpated on epididymis, and multiple small nodules were noticed in both testis and epididymis by scrotal ultrasonogram. Semen analysis showed azoospermia initially. After treatment with prednisolone for 12 months, sperm was increased to 64 ,800 ,000/ ml, and 70% of them were motile when they were measured at 15 minutes after ejaculation. The patients condition became better and the typical radiological findings of involved organs were improved as well As far as we studied, sarcoidosis is known to involve multiple organs, but epididymal sar.:oidosis is very rare. So we report a case of sarcoidosis involving epididymis which caused azoospermia.