[Atypical forms of sarcoidosis].
Many atypical forms of sarcoidosis have been described. mediastinum-lung involvement, observed in 90% of the cases, may cause atypical manifestations: hemoptysis, chest pain, predominant pleural or proximal bronchial involvement. Diffuse "unpolished glass" images or air cavities may be observed on the chest x-ray. A rigorous diagnostic work-up is necessary for these atypical forms. Pathological confirmation is mandatory: non-caseous tuberculoid granuloma. A very wide range of extra-thoracic localizations have been described with variable clinical manifestations. In cases with no mediastinum-lung involvement, pathology data must be confronted with the notion of multiple organ dissemination to reach diagnosis.
Battesti
J P
JP
Service de Pneumologie, Hôpital Avicenne, 93009 Bobigny.
Azoulay
E
E
D001706:Biopsy; D001992:Bronchoalveolar Lavage Fluid / Q000166:cytology; D002637:Chest Pain / Q000209:etiology; D004700:Endocrine System Diseases / Q000145:classification* / Q000150:complications / Q000175:diagnosis*; D005767:Gastrointestinal Diseases / Q000145:classification* / Q000150:complications / Q000175:diagnosis*; D006402:Hematologic Diseases / Q000145:classification* / Q000150:complications / Q000175:diagnosis*; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D007592:Joint Diseases / Q000145:classification* / Q000150:complications / Q000175:diagnosis*; D008171:Lung Diseases / Q000145:classification* / Q000150:complications / Q000175:diagnosis*; D008477:Mediastinal Diseases / Q000145:classification* / Q000150:complications / Q000175:diagnosis*; D012507:Sarcoidosis / Q000145:classification* / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed