[A case of sarcoidosis associated with severe cardiac conduction disturbances and unilateral pleural effusion].
A 23-year-old man was admitted to our hospital because of non-productive cough. Chest X-ray demonstrated bilateral hilar lymphadenopathy, bilateral infiltration shadows and right pleural effusion. ECG showed complete A-V block and sinus arrest. Transbronchial lung biopsy and pleural biopsy specimens showed non-necrotizing epithelioid cell granulomas. The patient was diagnosed as having sarcoidosis, and was treated with steroid and pacemaker. After steroid therapy, myocardial imaging with thallium-201 showed increase of uptake and the pleural effusion disappeared.
Kita
T
T
Department of Respiratory Medicine, General Hospital, Shizuoka, Japan.
Iwata
M
M
Ida
M
M
Horiguchi
T
T
Fujimoto
K
K
Sato
A
A
D000328:Adult; D009202:Cardiomyopathies / Q000150:complications; D006327:Heart Block / Q000209:etiology*; D006801:Humans; D008297:Male; D010996:Pleural Effusion / Q000209:etiology*; D012507:Sarcoidosis / Q000150:complications*; D017565:Sarcoidosis, Pulmonary / Q000150:complications