Sarcoidosis presenting with a pleural effusion.
A male West Indian patient developed a pleural effusion without radiographic evidence of intra-thoracic lymph node or pulmonary abnormality. A pleural biopsy showed non-caseating granulomas. The Kveim test was positive. During treatment with anti-tuberculosis drugs bilateral pulmonary nodular shadows appeared in the chest x-ray. Anti-tuberculosis chemotherapy was stopped and prednisone given. The nodular shadows resolved.
D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010994:Pleura / Q000473:pathology; D010996:Pleural Effusion / Q000175:diagnosis*; D011241:Prednisone / Q000627:therapeutic use; D012507:Sarcoidosis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis
D011241:Prednisone