A Case of Acute Sarcoidosis with Initial Presentation of High Grade Fever, Parotid Glands Swelling, Liver Dysfunction and Uveitis
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概要
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A 31 year-old-female was admitted to our university hospital due to high-grade fever, liver dysfunction and parotid glands swelling. Chest X ray findings showed bilateral hilar lymphadenopathy. The serum levels of AST (202IU/L) and ALT (234IU/L) were elevated. Serum ACE and lysozyme activities were increased. Several examinations disclosed uveitis and lymphocytosis in BAL fluid. Histological examination of the liver and minor salivary gland biopsy specimens revealed noncaseating epithelioid cell glanulomas. Prednisolone was administered and its dosage was gradually reduced. Liver enzymes and ACE levels gradually decreased in parallel with improvement of high glade fever and parotid gland swelling. We report a case of acute sarcoidosis who had sarcoid lesions in the lung, eye, parotid gland and liver.
- 日本サルコイドーシス/肉芽腫性疾患学会の論文
日本サルコイドーシス/肉芽腫性疾患学会 | 論文
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