Respir Case Rep. 2018; 7(2): 118-122 | DOI: 10.5505/respircase.2018.93653

Sarkoidozda nadir bir komplikasyon: Pnömotoraks

Zühre Taymaz¹, Dursun Alizoroðlu¹, Ahmet Emin Erbaycu¹, Nur Yücel^2
1Ýzmir Dr Suat Seren Göðüs Hastalýklarý Ve Cerrahisi Eðitim Ve Araþtýrma Hastanesi, Göðüs Hastalýklarý Kliniði, Ýzmir
²Ýzmir Dr Suat Seren Göðüs Hastalýklarý Ve Cerrahisi Eðitim Ve Araþtýrma Hastanesi, Patoloji Bölümü, Ýzmir

Sarkoidoz seyrinde pnömotoraks nadir bir durumdur ve patogenezde subplevral bleb veya büllerin rüptürü ve subplevral granulomlarýn nekrozu sorumlu tutulmaktadýr. Sunulan evre 2 hastada, baþlangýç akciðer parankim tutulumu yoðun olup her iki akciðeri tümüyle kapsamaktadýr. Sistemik kortikosteroid tedavisine klinik ve radyolojik olarak iyi yanýt alýnsa da tedavinin ikinci ayýnda tek taraflý pnömotoraks izlenmiþtir. Tüp torakostomi ve kapalý su altý drenajý uygulanmýþtýr. Hasta, literatür bilgileri eþliðinde nadir bir sarkoidoz seyri olarak sunulmuþtur.

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

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A Rare Complication in Sarcoidosis: Pneumothorax

Zühre Taymaz¹, Dursun Alizoroðlu¹, Ahmet Emin Erbaycu¹, Nur Yücel^2
1Department Of Thoracic Diseases, Izmir Dr Suat Seren Thoracic Diseases And Surgery Training And Research Hospital, Ýzmir, Turkey
²Department Of Pathology, Izmir Dr Suat Seren Thoracic Diseases And Surgery Training And Research Hospital, Ýzmir, 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.

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