Bloody Pleural Effusion -A Rare Manifestation of Sarcoidosis
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概要
- 論文の詳細を見る
Sarcoidosis is a multisystemic granulomatous disease of unknown etiology. Pleural effusion is rare in patients with sarcoidosis, occurring in 0.7% to 20% of cumulative series. Bloody pleural effusion is even more rare. We herein report two cases of sarcoidosis with bloody pleural effusion and discuss the clinical manifestations, diagnostic procedures and treatment of these cases. Sarcoidosis should be included in the differential diagnosis when bloody pleural effusions are detected. An increased level of lymphocytes and an increased ratio of CD4+/CD8+ lymphocytes in bronchoalveolar lavage fluid (BALF) are helpful for making a diagnosis of sarcoidosis. Medical thoracoscopy is helpful for determining the definitive diagnosis. Corticosteroids are an effective treatment; however, the dose should be individualized according to the treatment response.
著者
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Wang Qiu-yue
The Institute of Respiratory Diseases, The First Affiliated Hospital of China Medical University, China
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Hou Gang
The Institute of Respiratory Diseases, The First Affiliated Hospital of China Medical University, China
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Wang Wei
The Institute of Respiratory Diseases, The First Affiliated Hospital of China Medical University, China
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Zhao Ya-bin
The Institute of Respiratory Diseases, The First Affiliated Hospital of China Medical University, China
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Su Xin-ming
The Institute of Respiratory Diseases, The First Affiliated Hospital of China Medical University, China
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Li Zhen-hua
The Institute of Respiratory Diseases, The First Affiliated Hospital of China Medical University, China
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Kang Jian
The Institute of Respiratory Diseases, The First Affiliated Hospital of China Medical University, China