Sarcoidosis accompanied by pleural effusion and multiple bronchial stenoses.
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.
Mizushima
Y
Y
First Department of Internal Medicine, Toyama Medical and Pharmaceutical University.
Sassa
K
K
Fujishita
T
T
Iwai
H
H
Yasumura
S
S
Kobayashi
M
M
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