[A case of sarcoidosis who showed rapid swelling of mediastinal and abdominal lymph nodes].
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.
Hasegawa
Yoshikazu
Y
Department of Respiratory Medicine, Clinical Oncology Medicine, Osaka City General Hospital.
Kawano
Yuu
Y
Sumitani
Mitsuhiro
M
Takeda
Kouji
K
Kashii
Tatsuhiko
T
Takihuji
Nobuhide
N
Terakawa
Kazuhiko
K
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*