Table 2.
Characteristic features of major non-infectious granulomatous disease.
Diagnosis | Key features |
---|---|
Sarcoidosis | Prominent well formed, discrete, non-necrotizing granulomas in lymphangitic pattern |
Berylliosis | Well-formed, compact, non-necrotizing “sarcoid-like” granulomas within the interstitium correlation with the exposure history and demonstrating a beryllium-specific immune response with beryllium lymphocyte proliferation testing, or tissue analysis may be helpful in establishing the diagnosis |
Hypersensitivity pneumonitis | Scattered small, poorly formed granulomas or multinucleated giant cells in interstitium in a background of prominent chronic interstitial inflammation |
Aspiration pneumonia | Aspirated material surrounded by foreign-body type granulomas or multinucleated giant cells |
Granulomatosis with polyangiitis (GPA) | Suppurative granulomas with dirty necrosis and necrotizing vasculitis |
Eosinophilic granulomatosis with polyangiitis (EGPA) | Necrotizing granulomas, necrotizing vasculitis, and prominent eosinophils |
Rheumatoid nodule | Multiple subpleural necrobiotic nodules identical to subcutaneous nodules; most patients also have subcutaneous nodules and high rheumatoid titers. |