title: [A case of sarcoidosis who showed rapid swelling of mediastinal and abdominal lymph nodes].
abstract: A 49-year-old woman noticed hoarseness and facial palsey three months prior to her visit to our hospital. Chest radiograph and CT scanning revealed bilateral mediastinal and hilar lymphadenopathy. Bronchofiberoptic biopsy showed sarcoidosis. Her symptoms improved under no treatment. However, she showed rapid increase of mediastinal and abdominal lymph nodes swelling and elevation of serum level of sIL-2R during observation. Therefore, we must discriminate sarcoidosis-lymphoma syndrome from exacerbation of sarcoidosis. Mediastinoscopic biopsy was conducted for diagnosis, and it revealed exacerbation of sarcoidosis. We reported this rare case of rapid increase of mediastinal and abdominal lymph node swelling due to sarcoidosis.
authors.affiliation: Department of Respiratory Medicine, Clinical Oncology Medicine, Osaka City General Hospital.
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Hasegawa
authors.forename: Yuu
authors.initials: Y
authors.lastname: Kawano
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Sumitani
authors.forename: Kouji
authors.initials: K
authors.lastname: Takeda
authors.forename: Tatsuhiko
authors.initials: T
authors.lastname: Kashii
authors.forename: Nobuhide
authors.initials: N
authors.lastname: Takihuji
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Terakawa
mesh_terms: D000005:Abdomen; D000368:Aged; D001706:Biopsy; D004487:Edema / Q000209:etiology / Q000473:pathology; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008206:Lymphatic Diseases / Q000473:pathology*; D008481:Mediastinoscopy; D008482:Mediastinum / Q000473:pathology*; D012507:Sarcoidosis / Q000473:pathology*