Sarcoidosis Presenting with Multiple Lung Parenchymal Nodules.
10.12771/emj.2016.39.2.61
- Author:
Hyung Jun KIM
1
;
Jimyung PARK
;
Jee Min KIM
;
Ye Jin LEE
;
Hye Rin KANG
;
Chang Hoon LEE
Author Information
1. Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. kauri670@empal.com
- Publication Type:Case Report
- Keywords:
Sarcoidosis;
Multiple pulmonary nodules;
Granuloma
- MeSH:
Adult;
Biopsy;
Diagnosis;
Granuloma;
Humans;
Korea;
Lung*;
Lymph Nodes;
Multiple Pulmonary Nodules;
Neck;
Necrosis;
Sarcoidosis*
- From:The Ewha Medical Journal
2016;39(2):61-64
- CountryRepublic of Korea
- Language:English
-
Abstract:
Sarcoidosis is a multi-organ disease with various clinical manifestations. The lung is the most common site of manifestation; however, unusual findings may delay the correct diagnosis of sarcoidosis. Here we report a case of 32-year-old man with 4-month history of neck mass. Radiological findings revealed multiple pulmonary parenchymal nodules, with initial biopsy results of his neck lymph node showing chronic granuloma with focal necrosis. The patient was treated with anti-tuberculosis medications, but the size of the nodules did not change. Biopsy was performed from one of his pulmonary nodules, which revealed chronic granuloma without necrosis. Therefore, the patient was diagnosed with sarcoidosis. We present a case of sarcoidosis with multiple lung parenchymal nodules that is uncommon in Korea, with an aim to alert physicians of such unusual presentations.
