Recurrence of sarcoidosis following bilateral allogeneic lung transplantation.
We report the first case of recurrent sarcoidosis manifested by clinical symptoms, radiographic abnormalities, and pathologic changes in a patient following sequential double allogeneic lung transplantation. A 40-year-old male patient underwent bilateral allogeneic lung transplantation for end-stage pulmonary sarcoidosis. Thirteen months posttransplantation, he developed fatigue, shortness of breath, and bilateral upper lobe pulmonary infiltrates. Transbronchial biopsy specimens revealed noncaseating granulomata. The patient's symptoms and radiographic abnormalities resolved with an increased dose of oral prednisone.
Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor 48109.
F J
FJ
Martinez
J B
JB
Orens
M
M
Deeb
L A
LA
Brunsting
A
A
Flint
J P
JP
Lynch
D000328:Adult; D001706:Biopsy; D002908:Chronic Disease; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology; D016040:Lung Transplantation; D008297:Male; D011182:Postoperative Care; D011859:Radiography; D012008:Recurrence; D017565:Sarcoidosis, Pulmonary / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D013997:Time Factors