title: Pulmonary Sarcoidosis Presenting with Miliary Opacities.
abstract: Lung lesions often appear in patients with sarcoidosis; however, miliary opacities are rare. We herein report the case of a 40-year-old woman with pulmonary sarcoidosis who presented with dyspnea on exertion. Subsequent computed tomography showed miliary opacities, and the presence of granulomas was confirmed by a transbronchial lung biopsy. Glucocorticoid therapy was initiated and the symptoms and miliary opacities rapidly improved. Although miliary sarcoidosis is uncommon, physicians should consider sarcoidosis in addition to tuberculosis, malignancy, and pneumoconiosis when presented with miliary opacities.
authors.affiliation: Department of Respiratory Medicine, Osaka Red Cross Hospital, Japan.
authors.forename: Masato
authors.initials: M
authors.lastname: Taki
authors.forename: Naoya
authors.initials: N
authors.lastname: Ikegami
authors.forename: Chisato
authors.initials: C
authors.lastname: Konishi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Nakao
authors.forename: Tomoko
authors.initials: T
authors.lastname: Funazou
authors.forename: Ryo
authors.initials: R
authors.lastname: Ariyasu
authors.forename: Masanori
authors.initials: M
authors.lastname: Yoshida
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Nakagawa
authors.forename: Kyouhei
authors.initials: K
authors.lastname: Morita
authors.forename: Moon
authors.initials: M
authors.lastname: Hee Hwang
authors.forename: Chie
authors.initials: C
authors.lastname: Yoshimura
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Wakayama
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Nishizaka
mesh_terms: D001706:Biopsy; D001992:Bronchoalveolar Lavage Fluid; D001999:Bronchoscopy; D004417:Dyspnea / Q000209:etiology*; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D008168:Lung / Q000473:pathology*; D008875:Middle Aged; D017565:Sarcoidosis, Pulmonary / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014391:Tuberculosis, Miliary / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
chemical_list: D005938:Glucocorticoids