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Abstract
Case Report
Rapid progression of intractable sarcoidosis in a patient with large cystic lesions and marked pulmonary hypertension
Fumiaki Tokiokaa,* Hwang Moon Heeb Yasuo Nishizakaa Ryoichi Amitanic Tomoko Wakasad
aDepartment of Respiratory Medicine, Osaka Red Cross Hospital
bDepartment of Respiratory Medicine, Tenri Hospital
cDepartment of Respiratory Medicine, Takamatsu Red Cross Hospital
dDepartment of Pathology, Nara Hospital Kinki University Faculty of Medicine
*Present address: Department of Respiratory Medicine, Kurashiki Central Hospital
ABSTRACT
A 47-year-old man presented with a chief complaint of dyspnea during exertion. Chest CT showed granular shadows and large cysts in both lungs, and marked pulmonary hypertension was revealed by echocardiography. Cervical lymph node biopsy yielded no diagnosis before his death. Oxygen and steroid therapies failed to relieve his respiratory condition, which showed exacerbation, and the patient died from massive hemoptysis. Autopsy revealed sarcoidosis, considered to have caused the lung lesions and pulmonary hypertension. Clinical images of sarcoidosis are various, and many points have yet to be elucidated. We report rapid progression of intractable sarcoidosis in a patient with large cystic lesions and marked pulmonary hypertension.
KEYWORDS
Intractable Sarcoidosis Pulmonary hypertension Large cyst Pulmonary aspergillosis
Received 28 Oct 2013 ／ Accepted 26 Mar 2014
AJRS, 3(4): 563-569, 2014
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