Acute Pericarditis as a Rare Presentation of Cardiac Involvement in Sarcoidosis

Sarcoidosis is a chronic systemic disease without any identified etiology. In general, it affects the lungs and lymph nodes, but can implicate any other organ. Cardiac involvement in patients with systemic sarcoidosis is usually the cause of death.1 Usually, patients present with complete heart block, bundle branch block, ventricular tachycardia (VT), congestive heart failure, and/or sudden death.2 The myocardium and, to a lesser extent, the endocardium are usually involved. Pericardial involvement often presents as moderate to large pericardial effusion detected in echocardiography.3 We here present a case of symptomatic acute pericarditis, which is a rare manifestation of cardiac involvement in sarcoidosis.1,4,5