Liver Sarcoidosis That Presented with Dysphagia
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概要
- 論文の詳細を見る
We report a case of liver sarcoidosis with dysphagia. Although akinesia of the soft palate, disappearance of the palatal reflex, and pyramidal signs indicated brainstem lesions, brain magnetic resonance imaging showed no lesion and the focus was obscure. Iritis, parotiditis, and hilar lymphadenopathy supported the diagnosis of sarcoidosis. However, lung biopsy was normal. Finally, sarcoidosis was diagnosed by liver biopsy. We speculated that microgranulomas in the brainstem that did not exhibit imaging abnormalities causing the neurological symptoms and that liver biopsy can be an effective diagnostic tool even for cases that presented with neurological signs, but no gastrointestinal symptom.
- 社団法人 日本内科学会の論文
著者
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SAITO Katsuhiko
Department of Pathology, Toyama City Hospital
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Hayashi Shigeru
Department Of Biophysical Engineering Osaka University
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Takahashi Hirokazu
Department Of Electrical Engineering Faculty Of Engineering Nagaoka University Of Technology
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Saito Katsuhiko
Department of Electrical and Electronic Engineering, Synchrotron Light Application Center, Saga University, Saga 840-8502, Japan
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Takahashi Hirokazu
Department of Internal Medicine, Toyama City Hospital
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Samuraki Miharu
Department of Internal Medicine, Toyama City Hospital
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Nakahashi Takuya
Department of Internal Medicine, Toyama City Hospital
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Aoyama Shou
Department of Internal Medicine, Toyama City Hospital
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Hinoue Yoshinobu
Department of Internal Medicine, Toyama City Hospital
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TAKAHASHI Hirokazu
Department of Agricultural Chemistry, Faculty of Agriculture, Tohoku University
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