Sarcoidosis Presenting with Pleural Involvement: A Case Report

Sarcoidosis is a multisystemic, granulomatous disease with particular involvement in the lungs and the intrathoracic lymph nodes. Pleural fluid has been reported to occur in 0% to 5% of the cases in the literature. Diagnosis depends on the presence of non-caseating granulomas in the biopsy sample and the exclusion of other possibilities. A 77-year-old woman with complaints of shortness of breath and a dry cough was found to have non-necrotizing granulomatous inflammation in pleural biopsy and computed tomography guided transthoracic Tru-Cut biopsy specimens. This was a rare case in which partial recovery was achieved through treatment with methylprednisolone for a year in reduced doses.

Plevral Tutulumla Seyreden Sarkoidoz: Olgu Sunumu

Sarkoidoz, nedeni bilinmeyen, en sýk akciðerleri ve intratorasik lenf nodlarýný tutan, multisistemik, non-kazeifiye granülomatöz bir hastalýktýr. Literatürde plevra sývýsý görülme sýklýðý %0-5 arasýnda bildirilmektedir. Taný plevra biyopsisinde kazeifikasyon nekrozu içermeyen granülom gösterilmesi ve granülom yapan diðer nedenlerin dýþlanmasý ile konulur. Eforla nefes darlýðý ve kuru öksürük þikayetleri olan 77 yaþýndaki kadýn hastamýzýn plevral biyopsi ve BT eþliðinde transtorasik tru-cut biyopsi örneklerinde “nekroz içermeyen granülomatöz enflamasyon” saptadýk. Giderek azaltýlan dozlarda bir yýllýk metilprednisolon tedavisiyle tama yakýn iyileþme saðladýðýmýz olguyu nadir görülmesi nedeniyle sunuyoruz.

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