[A case of pulmonary sarcoidosis with cavitation].
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.
Yoshioka
Sumako
S
Second Department of Internal Medicine, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, Japan.
Mukae
Hiroshi
H
Kakugawa
Tomoyuki
T
Kitamura
Yuuko
Y
Sakamoto
Noriho
N
Kaida
Hideyuki
H
Fujii
Tuyoshi
T
Suyama
Naosi
N
Izumikawa
Kinnichi
K
Kohno
Shigeru
S
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