タイトル無し

概要

論文の詳細を見る
A 45-year-old man was admitted to hospital because of chest pain and dyspnea. He was diagnosed to have right pneumothorax. The pneumothorax did not improve with bed rest alone, so he was referred to our hospital. The pneumothorax was resolved with chest tube drainage. But a chest x-ray and CT showed bilateral diffuse micronodules and mediastinal lymphadenopathy. Serum ACE was elevated slightly. Bronchoalveolar lavage revealed increased lymphocytes percent with elevated CD4/CD8 ratio. Transbronchial biopsies demonstrated non-caseating epithelioid cell granulomas without infectious organism. So he was diagnosed to have sarcoidosis. After one month, right pneumothorax recurred. At this time, tube drainage treatment was again successful and then he received pleurodesis by OK-432. Pneumothorax due to sarcoidosis is relatively rare, especially as an initial manifestation.
日本サルコイドーシス/肉芽腫性疾患学会の論文