title: [A case of pulmonary sarcoidosis with cavitation].
abstract: A 37-year-old woman, who had first been given a diagnosis of sarcoidosis at 23 years of age, was admitted to our hospital after her condition deteriorated. Chest radiographs and CT scan films showed multiple cavitary lesions with thick walls, diffuse granular shadows and bilateral hilar and mediastinal lymphadenopathy. Skin lesions were also observed. In the bronchoalveolar lavage fluid, no pyogenic bacteria, fungi, acid-fast bacilli or malignant cells were detected. A CT-guided transcutaneus lung biopsy specimen revealed a sarcoid granuloma, and we concluded that the cavitary lesions were due to sarcoidosis. After treatment with prednisolone (30 mg/day), the multiple cavitary lesions, diffuse granular shadows and skin lesions showed obvious improvement.
authors.affiliation: Second Department of Internal Medicine, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, Japan.
authors.forename: Sumako
authors.initials: S
authors.lastname: Yoshioka
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Mukae
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Kakugawa
authors.forename: Yuuko
authors.initials: Y
authors.lastname: Kitamura
authors.forename: Noriho
authors.initials: N
authors.lastname: Sakamoto
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Kaida
authors.forename: Tuyoshi
authors.initials: T
authors.lastname: Fujii
authors.forename: Naosi
authors.initials: N
authors.lastname: Suyama
authors.forename: Kinnichi
authors.initials: K
authors.lastname: Izumikawa
authors.forename: Shigeru
authors.initials: S
authors.lastname: Kohno
mesh_terms: D000328:Adult; D005260:Female; D006099:Granuloma / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging* / Q000473:pathology; D012507:Sarcoidosis / Q000150:complications*; D017565:Sarcoidosis, Pulmonary / Q000000981:diagnostic imaging* / Q000473:pathology; D012867:Skin / Q000473:pathology; D014057:Tomography, X-Ray Computed