Respir Case Rep. 2018; 7(1): 36-40 | DOI: 10.5505/respircase.2018.90532

Plevral Tutulumla Seyreden Sarkoidoz: Olgu Sunumu

Ali Kadri Çýrak, Zeynep Öndeþ, Nur Yücel
Saðlýk Bilimleri Üniversitesi Ýzmir Dr. Suat Seren Göðüs Hastalýklarý ve Cerrahisi Eðitim ve Araþtýrma Hastanesi, Göðüs Hastalýklarý Kliniði, Ýzmir

Sarkoidoz, nedeni bilinmeyen, en sýk akciðerleri ve intratorasik lenf nodlarýný tutan, multisistemik, non-kazeifiye granülomatöz bir hastalýktýr. Literatürde plevra sývýsý görülme sýklýðý %0-5 arasýnda bildirilmektedir. Taný plevra biyopsisinde kazeifikasyon nekrozu içermeyen granülom gösterilmesi ve granülom yapan diðer nedenlerin dýþlanmasý ile konulur. Eforla nefes darlýðý ve kuru öksürük þikayetleri olan 77 yaþýndaki kadýn hastamýzýn plevral biyopsi ve BT eþliðinde transtorasik tru-cut biyopsi örneklerinde “nekroz içermeyen granülomatöz enflamasyon” saptadýk. Giderek azaltýlan dozlarda bir yýllýk metilprednisolon tedavisiyle tama yakýn iyileþme saðladýðýmýz olguyu nadir görülmesi nedeniyle sunuyoruz.

Anahtar Kelimeler: Sarkoidoz, plevral efüzyon, biyopsi

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Sarcoidosis Presenting with Pleural Involvement: A Case Report

Ali Kadri Çýrak, Zeynep Öndeþ, Nur Yücel
Department of Chest Diseases, Health Sciences University, Ýzmir Dr. Suat Seren Chest Diseases and Surgery Training and Research Hospital, Ýzmir, Turkey

Sarcoidosis is a multisystemic, granulomatous disease with particular involvement in the lungs and the intrathoracic lymph nodes. Pleural fluid has been reported to occur in 0% to 5% of the cases in the literature. Diagnosis depends on the presence of non-caseating granulomas in the biopsy sample and the exclusion of other possibilities. A 77-year-old woman with complaints of shortness of breath and a dry cough was found to have non-necrotizing granulomatous inflammation in pleural biopsy and computed tomography guided transthoracic Tru-Cut biopsy specimens. This was a rare case in which partial recovery was achieved through treatment with methylprednisolone for a year in reduced doses.

Keywords: Sarcoidosis, pleural effusion, biopsy

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