title: [A case of relapsing sarcoidosis with pleurisy 14 years after spontaneous remission].
abstract: An 83-year-old woman was referred to our hospital with dyspnea on exertion and right pleural effusion. At the age of 69, she had been given a clinical diagnosis of sarcoidosis due to uveitis, bilateral hilar lymphadenopathy, bilateral multiple nodular shadows on chest images, and serum angiotensin-converting enzyme (SACE) level elevation. Remission was spontaneous. The pleural effusion was exudative lymphocyte-rich. On thoracoscopy, the macroscopic appearance of the parietal pleura was telangiectasia without nodular lesions and the pleural biopsy specimens revealed non-caseating epitheloid cell granulomas whose cultures were negative for acid-fast bacilli and fungi. A tuberculin skin test and QFT-2G were negative, thus we diagnosed sarcoidsis pleurisy.
authors.affiliation: Department of Internal Medicine, National Hospital Organization Tenryu Hospital.
authors.forename: Hisano
authors.initials: H
authors.lastname: Ohba
authors.forename: Seiichi
authors.initials: S
authors.lastname: Miwa
authors.forename: Masahiro
authors.initials: M
authors.lastname: Shirai
authors.forename: Takafumi
authors.initials: T
authors.lastname: Suda
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Hayakawa
authors.forename: Kingo
authors.initials: K
authors.lastname: Chida
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D010998:Pleurisy / Q000209:etiology*; D012008:Recurrence; D012075:Remission, Spontaneous; D012507:Sarcoidosis / Q000150:complications*