[A case of sarcoidosis with primary pulmonary cavitation].
A 30-year-old woman presented with multiple nodular shadows which enclosed a cavity on a chest radiograph. Chest computed tomographic (CT) images showed mediastinal lymphadenopathy, and multiple nodular opacities enclosing a cavity. Histopathological findings of biopsy specimens from the lung and mediastinal lymph nodes revealed noncaseating epithelioid cell granulomas without any evidence of Mycobacterium or fungal growth. The lesion in the lung included granulomatous vasculitis. Even without corticosteroid or any other therapy, the lung lesions resolved and the cavity disappeared. We report a case of sarcoidosis with primary acute cavitation.
Inomata
Shin-ichiro
S
Third Department of Internal Medicine, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo 060-8543.
Shijubo
Noriharu
N
Yamamoto-Miyajima
Satsuki
S
Sahara
Shin
S
Kudo
Kazumi
K
Shiratori
Masanori
M
Abe
Shosaku
S
D000328:Adult; D005260:Female; D006801:Humans; D008168:Lung / Q000473:pathology*; D011859:Radiography; D012075:Remission, Spontaneous; D017565:Sarcoidosis, Pulmonary / Q000000981:diagnostic imaging / Q000473:pathology*