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A 30-year-old woman was examined with facial nerve palsy and blurred vision due to uveitis in January 1999. Chest X-ray showed bilateral hilar lymphadenopathy. Because she rejected any further examination, we started prednisolone in a dose of 30mg every day and all the symptoms improved. Transbronchial lung biopsy was performed four months after the initiation of corticosteroid therapy, and the patient was diagnosed as having sarcoidosis. In May 2003, she came to have dry cough and dyspnea. Chest X-rays showed progressive stenosis of the left main bronchus and atelectasis of the left lung. Although she was re-treated with the same dose of corticosteroids as before, the stenosis did not improve and led to complete atelectasis of the left lung. To rule out the possibilities of bronchial tuberculosis or lymphoma, videoassisted diagnostic thoracoscopy with mediastinal lymph node biopsy was carried out and the pathological findings were compatible with sarcoidosis. Here we report a rare case of sarcoidosis with unilateral pulmonary atelectasis.
日本サルコイドーシス/肉芽腫性疾患学会の論文