Systemic sarcoidosis with spleen involvement

A 43 year old woman had suffered from abdominal pain at the left upper quadrant for two months. She had no fever or weight loss. On physical examination the patient had tender splenomegaly. Haematological and biochemical data showed leukopenia (2.9 × 106/l) and she had normal liver function tests and raised serum levels of the angiotensin converting enzyme (132 …