We report a case of a 48-year-old housewife diagnosed to have sarcoidosis based upon the characteristic clinical features and presence of non-caseating granulomas on endobronchial ultrasound guided fine needle aspiration biopsy. After an year, she developed severe chest pain due to acute pleuritis and dramatically responded to corticosteroids. To the best of our knowledge; acute pleuritis is a very rare presentation of sarcoidosis and has not been reported in the literature in recent times.
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