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Sarkoidozda nadir bir komplikasyon: Pnmotoraks [Respir Case Rep]
Respir Case Rep. 2018; 7(2): 118-122 | DOI: 10.5505/respircase.2018.93653

Sarkoidozda nadir bir komplikasyon: Pnmotoraks

Zhre Taymaz1, Dursun Alizorolu1, Ahmet Emin Erbaycu1, Nur Ycel2
1zmir Dr Suat Seren Gs Hastalklar Ve Cerrahisi Eitim Ve Aratrma Hastanesi, Gs Hastalklar Klinii, zmir
2zmir Dr Suat Seren Gs Hastalklar Ve Cerrahisi Eitim Ve Aratrma Hastanesi, Patoloji Blm, zmir

Sarkoidoz seyrinde pnmotoraks nadir bir durumdur ve patogenezde subplevral bleb veya bllerin rptr ve subplevral granulomlarn nekrozu sorumlu tutulmaktadr. Sunulan evre 2 hastada, balang akcier parankim tutulumu youn olup her iki akcieri tmyle kapsamaktadr. Sistemik kortikosteroid tedavisine klinik ve radyolojik olarak iyi yant alnsa da tedavinin ikinci aynda tek tarafl pnmotoraks izlenmitir. Tp torakostomi ve kapal su alt drenaj uygulanmtr. Hasta, literatr bilgileri eliinde nadir bir sarkoidoz seyri olarak sunulmutur.

Anahtar Kelimeler: Sarkoidoz, pnmotoraks, kortikosteroid, subplevral granulom.

A Rare Complication in Sarcoidosis: Pneumothorax

Zhre Taymaz1, Dursun Alizorolu1, Ahmet Emin Erbaycu1, Nur Ycel2
1Department Of Thoracic Diseases, Izmir Dr Suat Seren Thoracic Diseases And Surgery Training And Research Hospital, zmir, Turkey
2Department Of Pathology, Izmir Dr Suat Seren Thoracic Diseases And Surgery Training And Research Hospital, zmir, Turkey

Pneumothorax is a rare entity in the course of sarcoidosis, yet the rupture of subpleural blebs or bullae or the necrosis of subpleural granulomas may be pathogenic agents responsible for spontaneous pneumothorax. In the case presented, there was intense initial pulmonary paranchymal involvement in the bilateral lung zones. Though there was a good clinical and radiological response to systemic corticosteroid therapy, unilateral pneumothorax occurred following 2 months of treatment. A tube thoracostomy and underwater sealed drainage was performed. This case is presented with a discussion of the literature as a rare example of sarcoidosis.

Keywords: Sarcoidosis, pneumothorax, corticosteroid, subpleural granuloma.

Olgunun Tomografi Kesitleri




Zhre Taymaz, Dursun Alizorolu, Ahmet Emin Erbaycu, Nur Ycel. A Rare Complication in Sarcoidosis: Pneumothorax. Respir Case Rep. 2018; 7(2): 118-122

Sorumlu Yazar: Ahmet Emin Erbaycu, Trkiye
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