Pulmonary sarcoidosis and the acute respiratory distress syndrome (ARDS).
A 50 year old man presented with 3 weeks of exertional dyspnoea. His chest radiograph on admission revealed diffuse bilateral interstitial infiltrates. He did not respond to antibiotics but subsequently improved on high dose corticosteroids. Bronchoscopic examination with transbronchial biopsy specimens revealed the presence of non-necrotising granulomas. This case demonstrates an unusual clinical presentation of life threatening pulmonary sarcoidosis characterised by the development of acute respiratory distress syndrome (ARDS) with acute respiratory failure.
Sabbagh
F
F
State University of New York - Health Science Center at Brooklyn & Kings County Hospital Center, Brooklyn, NY 11203, USA.
Gibbs
C
C
Efferen
L S
LS
D000208:Acute Disease; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D004417:Dyspnea / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012128:Respiratory Distress Syndrome / Q000209:etiology*; D012131:Respiratory Insufficiency / Q000209:etiology; D017565:Sarcoidosis, Pulmonary / Q000150:complications* / Q000188:drug therapy
D000305:Adrenal Cortex Hormones