Introduction: Necrotizing sarcoid granulomatosis (NSG) is a very rare disease of unknown etiology characterized by sarcoid-like granulomas, vasculitis and necrosis in pulmonary and extrapulmonary localizations. Case report: We describe a case of a 34-year-old Caucasian male with fever, pleural pain, and nodular pulmonary opacities on chest radiograph. Histological examination of the lung tissue confirmed NSG. Diagnostically, infectious causes, vasculitis, and malignancy were excluded. A tendency to partial regression was observed, without the need for corticosteroid treatment. Conclusion: NSG is a rare disease which must be distinguished from other systemic diseases including vasculitides. The key to diagnosis, emphasized in our paper, is the histopathological finding. The course of NSG is similar to sarcoidosis. Corticosteroids are considered the treatment of choice, but the disease exhibits a tendency towards spontaneous regression. (Sarcoidosis Vasc Diffuse Lung Dis 2018; 35: 395-398).

Department of Internal Medicine Geriatrics and Practical Medicine University Hospital Brno Czech Republic

Department of Pulmonary Diseases and Tuberculosis Masaryk University Faculty of Medicine and University Hospital Brno Czech Republic

Department of Radiology and Nuclear Medicine Masaryk University Faculty of Medicine and University Hospital Brno Czech Republic

Institute of Pathological Anatomy University Hospital Brno Czech Republic

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