title: [A case of elderly onset sarcoidosis].
abstract: Although sarcoidosis is generally considered a disease of young and middle aged adults, there have been a certain number of cases among elderly. However it is unknown whether sarcoidosis in the elderly is recurrence of prior disease or initial onset at old ages. We present a 77-year-old woman with sarcoidosis the onset of which was considered to be in the last 6 months prior to the initial diagnosis. The patient was admitted to our hospital for further evaluation of bilateral hilar and mediastinal lymphadenopathy (BHL) and uveitis. BHL was not present in a chest radiograph taken 6 months prior to the admission. A clinical diagnosis of sarcoidosis was made by elevated serum angiotensin converting enzyme (ACE) and lysozyme (24.9 IU/L and 18.2 micrograms/ml, respectively), negative tuberculin skin test, concomitant presence of uveitis, and a high proportion of lymphocytes (33.2%) in bronchoalveolar lavage fluid with an elevated CD4/CD8 ratio (24.5). This is a noteworthy case of sarcoidosis in which we could confirm elderly onset of the disease.
authors.affiliation: Department of Respiratory Medicine, Juntendo University School of Medicine.
authors.forename: M
authors.initials: M
authors.lastname: Sekiya
authors.forename: J
authors.initials: J
authors.lastname: Ueki
authors.forename: H
authors.initials: H
authors.lastname: Ienaga
authors.forename: H
authors.initials: H
authors.lastname: Takahashi
authors.forename: T
authors.initials: T
authors.lastname: Dambara
authors.forename: Y
authors.initials: Y
authors.lastname: Fukuchi
mesh_terms: D017668:Age of Onset; D000368:Aged; D005260:Female; D006801:Humans; D017565:Sarcoidosis, Pulmonary / Q000175:diagnosis / Q000209:etiology*