title: Sarcoidosis accompanied by pleural effusion and multiple bronchial stenoses.
abstract: Diffuse parenchymal infiltrates in lower lung fields, right pleural effusion, multiple bronchial stenoses and hepatosplenomegaly were observed in a 30-year-old woman with iritis. Pleural effusion was a yellow exudate which was predominantly lymphocytic. A pulmonary function test showed an obstructive pattern, and multiple bronchial stenoses were observed on bronchoscopy. Both transbronchial lung biopsy (TBLB) and bronchial mucosal biopsy failed in demonstrating non-caseating granulomas, but liver biopsy revealed granulomas consistent with sarcoidosis. This is a very rare case, in which pleural effusion and bronchial stenoses occurred in the same patient.
authors.affiliation: First Department of Internal Medicine, Toyama Medical and Pharmaceutical University.
authors.forename: Y
authors.initials: Y
authors.lastname: Mizushima
authors.forename: K
authors.initials: K
authors.lastname: Sassa
authors.forename: T
authors.initials: T
authors.lastname: Fujishita
authors.forename: H
authors.initials: H
authors.lastname: Iwai
authors.forename: S
authors.initials: S
authors.lastname: Yasumura
authors.forename: M
authors.initials: M
authors.lastname: Kobayashi
mesh_terms: D000328:Adult; D000402:Airway Obstruction; D001706:Biopsy; D001980:Bronchi / Q000473:pathology*; D001999:Bronchoscopy; D005260:Female; D006529:Hepatomegaly / Q000150:complications; D006801:Humans; D008099:Liver / Q000473:pathology; D008173:Lung Diseases, Obstructive / Q000150:complications*; D010996:Pleural Effusion / Q000150:complications*; D012507:Sarcoidosis / Q000150:complications*; D013163:Splenomegaly / Q000150:complications