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Article in Japanese
Abstract
Case Report
Bullous Sarcoidosis-A Case Report-
Takanori Kanematsu Fumitaka Ohgushi Hirohisa Ogawa Yasuhiko Nishioka Tsutomu Shinohara Hiroaki Yanagawa Sabrou Sone
Third Department of Internal Medicine, University of Tokushima 2-5-1 Kuramoto-cho, Tokushima, Japan 770-8503
ABSTRACT
A 37-year-old man was admitted to our hospital complaining of dry cough and dyspnea. His chest radiographs showed severe bullous changes in the upper lobes and scattered small nodules in the lower. During the course of further examination, a spontaneous left pneumothorax developed in the lung, and video-assisted thoracic surgery was performed to remove a bulla. Multiple noncaseous granulomas were seen and sarcoidosis was diagnosed. Here we report a case of pathologically investigated bullous sarcoidosis, which is rarely seen to generate bullae due to granulomatous lesions. Therefore, it is important to consider sarcoidosis in making a differential diagnosis when a diffuse lung disease with cystic change is encountered.
KEYWORDS
Sarcoidosis Cystic change (bulla) Video-assisted thoracic surgery (VATS)
Received 平成12年4月10日
JJRS, 39(2): 117-121, 2001
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