Sarcoidosis associated with renal masses on computed tomography

被引：7

作者：

Mizunoe, Syunji ^{[1
]}

Yamasaki, Tohru ^{[1
]}

Tokimatsu, Issei ^{[2
]}

Kushima, Hisako ^{[1
]}

Matsunaga, Naoko ^{[1
]}

Hashinaga, Kazuhiko ^{[1
]}

Miyazaki, Yasuhiko ^{[1
]}

Komatsu, Eiji ^{[3
]}

Kadota, Jun-ichi ^{[2
]}

机构：

[1] Oita Prefectural Hosp, Dept Resp & Hematol Med, Oita 8708511, Japan

[2] Oita Univ, Fac Med, Dept Infect Dis, Div Pathogenesis & Dis Control, Oita 87011, Japan

[3] Oita Prefectural Hosp, Dept Radiol, Oita 8708511, Japan

来源：

INTERNAL MEDICINE | 2006年 / 45卷 / 05期

关键词：

renal sarcoidosis; granulomatous interstitial nephritis;

D O I：

10.2169/internalmedicine.45.1458

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 50-year-old woman was admitted to our hospital after computed tomography (CT) revealed renal masses and mediastinal lymphadenopathy. Uveitis had previously been diagnosed by a local ophthalmologist. Elevated levels of serum soluble IL-2 receptor were observed. However, renal function was not compromised. Abdominal CT showed multiple low attenuation tumor-like nodules in both kidneys. As lymphoma was considered likely, CT-guided renal biopsy was performed; however, histological examination of the excised specimens revealed noncaseating granulomas. Analysis of bronchoalveolar lavage fluid demonstrated a sarcoidosis pattern. The final diagnosis was sarcoidosis with renal involvement.

引用

页码：279 / 282

页数：4

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