Bullous sarcoidosis - A report of three cases

被引：27

作者：

Judson, MA ^{[1
]}

Strange, C ^{[1
]}

机构：

[1] Med Univ S Carolina, Div Pulm & Crit Care Med, Charleston, SC 29425 USA

来源：

CHEST | 1998年 / 114卷 / 05期

关键词：

airflow obstruction; bullae; emphysema; pathology; sarcoidosis;

D O I：

10.1378/chest.114.5.1474

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Three cases of pulmonary sarcoidosis presented as bullous emphysema with severe airflow obstruction, and the diagnosis of sarcoidosis was unsuspected for at least 2 years. Potential mechanisms of bullous emphysema from sarcoidosis are discussed. The physician should Suspect sarcoidosis as the cause of bullous emphysema when young patients who have smoked relatively few pack-years present with emphysema or severe airflow obstruction. Additional clues are the presence of mediastinal adenopathy on a chest radiograph or a CT scan and a history consistent with extrapulmonary sarcoidosis.

引用

页码：1474 / 1478

页数：5

共 18 条

[1]

ASANO M, 1991, CLIN EXP IMMUNOL, V84, P92

[2]

BAUGHMAN RP, 1988, J LAB CLIN MED, V111, P399

[3] ELEVATED IL-8 AND MCP-1 IN THE BRONCHOALVEOLAR LAVAGE FLUID OF PATIENTS WITH IDIOPATHIC PULMONARY FIBROSIS AND PULMONARY SARCOIDOSIS [J].

CAR, BD ;

MELONI, F ;

LUISETTI, M ;

SEMENZATO, G ;

GIALDRONIGRASSI, G ;

WALZ, A .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1994, 149 (03) :655-659

[4] UNCOMMON ROENTGEN PATTERNS OF PULMONARY SARCOIDOSIS [J].

FELSON, B .

DISEASES OF THE CHEST, 1958, 34 (04) :357-367

[5]

HARDEN KA, 1959, DIS CHEST, V35, P607

[6] Pleural effusion from acute lung rejection [J].

Judson, MA ;

Handy, JR ;

Sahn, SA .

CHEST, 1997, 111 (04) :1128-1130

[7] Histopathologic diagnosis made in lung tissue resected from patients with severe emphysema undergoing lung volume reduction surgery [J].

Keller, CA ;

Naunheim, KS ;

Osterloh, J ;

Espiritu, J ;

McDonald, JW ;

Ramos, RR .

CHEST, 1997, 111 (04) :941-947

[8] SINGLE-LUNG TRANSPLANTATION IN PATIENTS WITH SYSTEMIC-DISEASE [J].

LEVINE, SM ;

ANZUETO, A ;

PETERS, JI ;

CALHOON, JH ;

JENKINSON, SG ;

BRYAN, CL .

CHEST, 1994, 105 (03) :837-841

[9] Increased inflammatory cytokines and new collagen formation in cutaneous tuberculosis and sarcoidosis [J].

Marshall, BG ;

Wangoo, A ;

Cook, HT ;

Shaw, RJ .

THORAX, 1996, 51 (12) :1253-1261

[10] THE VANISHING LUNG SYNDROME ASSOCIATED WITH PULMONARY SARCOIDOSIS [J].

MILLER, A .

BRITISH JOURNAL OF DISEASES OF THE CHEST, 1981, 75 (02) :209-214

← 1 2 →