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Neurosarcoidosis with chronic cough and Horner’s syndrome
  1. Emma Callanan1,
  2. Patricia Mcnamara2,
  3. Gordon Ingle2
  1. 1 Internal Medicine, Luton and Dunstable University Hospital, Luton, Luton, UK
  2. 2 National Hospital for Neurology and Neurosurgery, London, UK
  1. Correspondence to Emma Callanan, Department of Internal Medicine, Luton and Dunstable University Hospital, Luton, UK; emma.callanan{at}ldh.nhs.uk

Abstract

A 62-year-old man attended ophthalmology for a simple ptosis repair. He had a chronic cough, a Horner’s syndrome with post-gustatory hyperhidrosis. He was referred to the respiratory and neurology teams. MR scan of his head and neck found evidence of multifocal disease at the skull base and carotid canal, and further tests identified additional deposits in the hilar lymph nodes, heart and sacrum. A transbronchial biopsy confirmed the diagnosis of sarcoidosis. His symptoms and imaging responded well to corticosteroids, but he still undergoes regular imaging. We discuss the features of Horner’s syndrome, and the autonomic associations of a chronic cough.

  • AUTONOMIC
  • NEUROANATOMY
  • RESPIRATORY MEDICINE
  • CLINICAL NEUROLOGY

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Footnotes

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally reviewed by Neil Scolding, Bristol, UK.

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