Sarcoidosis masquerading as eosinophilic pneumonia.
A 29-year-old woman presented with progressive dyspnea, fever, cough, and weight loss. A chest roentgenogram revealed bilateral peripheral infiltrates suggestive of chronic eosinophilic pneumonia. Bronchoscopic evaluation, as well as a therapeutic trial of corticosteroids, was nondiagnostic. Open lung biopsy revealed findings consistent with a diagnosis of sarcoidosis. Roentgenographically, differentiating between sarcoidosis and chronic eosinophilic pneumonia can be difficult. A diagnostic approach, as well as the differential diagnosis of bilateral peripheral pulmonary infiltrates, is discussed.
Willsie-Ediger
S K
SK
School of Medicine, University of Missouri-Kansas City 64108.
Salzman
G A
GA
Schaetzel
W P
WP
D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008168:Lung / Q000473:pathology; D008171:Lung Diseases / Q000175:diagnosis*; D011657:Pulmonary Eosinophilia / Q000175:diagnosis*; D012507:Sarcoidosis / Q000175:diagnosis* / Q000473:pathology