Sarcoidosis Complicating with Bilateral Pneumothorax

Cases of sarcoidosis rarely present with pneumothorax. Case is a 57-year-old woman. She has been having complaints of cough for the past four years. The patient received corticosteroid treatment for sarcoidosis for 16 months, and visited our clinic one month after she voluntarily terminated her treatment due to an increase in complaints of cough. In her physical examination, her right hemithorax responded less to general respiration during pulmonary examination. Her lung PA X-ray demonstrated a pneumothorax line in her left hemithorax. There was an increase in dyspnea and right sided chest pain during the clinical follow-up, a day after hospitalization. The PA X-ray demonstrated a pneumotorax in the right hemithorax. Bilateral tube thoracostomy was applied on the patient and mediastinoscopy was performed. Due to the rareness of concomitant bilateral pneumothorax and sarcoidosis, what kind of information was presented in the light of literature in our case.

Bilateral Pnömotoraks ile Komplike Olan Sarkoidoz

Sarkoidoz olgularý nadir de olsa pnömotoraks ile prezente olabilirler. Olgumuz 57 yaþýnda bayan hasta. Dört yýldýr öksürük þikayeti mevcut. On altý ay sarkoidoz tedavisi için sistemik kortikosteroid kullanan hasta kendi isteði ile tedavisini kestikten 1 ay sonra öksürük þikayetinde artma nedeniyle polikliniðimize baþvurdu. Fizik muayenesinde sað hemitoraks solunuma az katýlýyordu. Olgunun PA Akciðer grafisinde sol hemitoraksta pnömotoraks hattý izlenmekteydi. Klinik izlemde hasta hastaneye yattýktan bir gün sonrasýnda nefes darlýðýnda artýþ ve sað tarafta göðüs aðrýsý tarifledi. Çekilen PA Akciðer grafisinde sað hemitoraksta da pnömotoraks geliþtiði gözlendi. Hastaya iki taraflý tüp torakostomi ve mediastinoskopi uygulandý. Olgumuz bilateral pnömotoraks ve sarkoidoz birlikteliðinin nadir olmasý nedeniyle literatür bilgileri ýþýðýnda sunulmuþtur.