Sarcoidosis presenting as unilateral alveolar consolidation.
Sarcoidosis is a multisystem granulomatous disorder that has variable clinical and radiologic manifestations. We describe a rare case of a 35-year-old black woman who had a nonresolving focal alveolar infiltrate. Her symptoms did not improve with the administration of antibiotics, and a more extensive workup, including fiberoptic bronchoscopy with transbronchial biopsy and a conjunctival biopsy showed noncaseating granulomata. We conclude that sarcoidosis should be included in the differential diagnosis of nonresolving alveolar opacity in populations that have increased incidence.
Tsiodras
S
S
Department of Pulmonary and Critical Care Medicine, Albert Einstein Medical Center, Philadelphia, Pennsylvania 19141, USA.
Eiger
G
G
Guttentag
A
A
Lippmann
M
M
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D011014:Pneumonia / Q000000981:diagnostic imaging*; D011650:Pulmonary Alveoli / Q000000981:diagnostic imaging; D017565:Sarcoidosis, Pulmonary / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed