Pulmonary Sarcoidosis Presenting with Miliary Opacities

Lung lesions often appear in patients with sarcoidosis; however, miliary opacities are rare. We herein report the case of a 40-year-old woman with pulmonary sarcoidosis who presented with dyspnea on exertion. Subsequent computed tomography showed miliary opacities, and the presence of granulomas was...

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Bibliographic Details
Published in:	Internal Medicine Vol. 54; no. 19; pp. 2483 - 2486
Main Authors:	Taki, Masato, Ikegami, Naoya, Konishi, Chisato, Nakao, Satoshi, Funazou, Tomoko, Ariyasu, Ryo, Yoshida, Masanori, Nakagawa, Kazuhiko, Morita, Kyouhei, Hwang, Moon Hee, Yoshimura, Chie, Wakayama, Toshiaki, Nishizaka, Yasuo
Format:	Journal Article
Language:	English
Published:	Japan The Japanese Society of Internal Medicine 01-01-2015
Subjects:	Biopsy Bronchoalveolar Lavage Fluid Bronchoscopy Dyspnea - etiology Female glucocorticoid therapy Glucocorticoids - administration & dosage granuloma Humans Lung - pathology Middle Aged miliary Mycobacterium sarcoidosis Sarcoidosis, Pulmonary - diagnosis Sarcoidosis, Pulmonary - drug therapy Sarcoidosis, Pulmonary - pathology Tomography, X-Ray Computed Treatment Outcome Tuberculosis, Miliary - diagnosis Tuberculosis, Miliary - drug therapy Tuberculosis, Miliary - pathology
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Summary:	Lung lesions often appear in patients with sarcoidosis; however, miliary opacities are rare. We herein report the case of a 40-year-old woman with pulmonary sarcoidosis who presented with dyspnea on exertion. Subsequent computed tomography showed miliary opacities, and the presence of granulomas was confirmed by a transbronchial lung biopsy. Glucocorticoid therapy was initiated and the symptoms and miliary opacities rapidly improved. Although miliary sarcoidosis is uncommon, physicians should consider sarcoidosis in addition to tuberculosis, malignancy, and pneumoconiosis when presented with miliary opacities.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 ObjectType-Article-1 ObjectType-Feature-2
ISSN:	0918-2918 1349-7235
DOI:	10.2169/internalmedicine.54.4681