Sarcoidosis associated with renal masses on computed tomography.
A 50-year-old woman was admitted to our hospital after computed tomography (CT) revealed renal masses and mediastinal lymphadenopathy. Uveitis had previously been diagnosed by a local ophthalmologist. Elevated levels of serum soluble IL2 receptor were observed. However, renal function was not compromised. Abdominal CT showed multiple low attenuation tumor-like nodules in both kidneys. As lymphoma was considered likely, CT-guided renal biopsy was performed; however, histological examination of the excised specimens revealed noncaseating granulomas. Analysis of bronchoalveolar lavage fluid demonstrated a sarcoidosis pattern. The final diagnosis was sarcoidosis with renal involvement.
Mizunoe
Syunji
S
Department of Respiratory and Hematology Medicine, Oita Prefectural Hospital, Bunyo.
Yamasaki
Tohru
T
Tokimatsu
Issei
I
Kushima
Hisako
H
Matsunaga
Naoko
N
Hashinaga
Kazuhiko
K
Miyazaki
Yasuhiko
Y
Komatsu
Eiji
E
Kadota
Junichi
J
D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D007674:Kidney Diseases / Q000000981:diagnostic imaging* / Q000209:etiology*; D008206:Lymphatic Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D008482:Mediastinum / Q000000981:diagnostic imaging; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use; D011877:Radionuclide Imaging; D012507:Sarcoidosis / Q000150:complications* / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D014605:Uveitis / Q000188:drug therapy / Q000209:etiology
D005938:Glucocorticoids; D011239:Prednisolone