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The case of a 45-year-old man who was diagnosed to have pulmonary sarcoidosis at the age of 27, and bulla on the right upper lung fields at 35 is reported. A biopsy of a subcutaneous nodule confirmed sarcoidosis. An ophthalmological examination revealed iritis, vitreous opacities and hemorrhage at 36. At the age of 37, bully appeared in the left upper lung field. Since the age of 39, he has been given herb medicine as an out-patient. At age 44, he was on corticosteroids for iatrogenic eruptions. Thereafter, the wall of bulla on the left side became thick with manifestation of fungus ball and the diagnosis was aspergillosis. He was treated with anti-fungal agents. Though pulmonary aspergillosis is a well-known pulmonary complication of advanced pulmonary sarcoidosis, we reported this case, stressing the entire course of x-ray images of the gradually expanding bulla for 10 years since the infection.
- 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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