[A case of sarcoidosis with right pneumothorax and multiple cavities in both lung fields].
A 26-year-old man was admitted to our hospital for evaluation of cavitary lesions on his chest X-ray film. Chest CT and conventional tomograms showed multiple cavities in both lung fields, as well as hilar and mediastinal lymphadenopathy. He had uveitis and the laboratory data showed a high level of angiotensin converting enzyme in the serum. Histological findings of the specimen obtained by transbronchial lung biopsy showed non-caseating epithelioid cell granuloma, consistent with sarcoidosis. Corticosteroid therapy (prednisolone 40 mg/day) resulted in reduction of the cavitary lesions and the lymphadenopathy. Negative bacteriological studies and the clinical course strongly suggested primary cavitation, a relatively rare form of pulmonary parenchymal involvement in sarcoidosis.
Yamaguchi
M
M
Department of Medicine and Physical Therapy, University of Tokyo School of Medicine, Japan.
Ohta
K
K
Takizawa
H
H
Kobayashi
N
N
Ishii
A
A
Sugiyama
H
H
Dohi
M
M
Suko
M
M
Ito
K
K
Miyamoto
T
T
D000328:Adult; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging*; D008297:Male; D011030:Pneumothorax / Q000150:complications*; D011239:Prednisolone / Q000008:administration & dosage; D011859:Radiography; D017565:Sarcoidosis, Pulmonary / Q000150:complications / Q000000981:diagnostic imaging*
D011239:Prednisolone