Tuberc Respir Dis.
2005 Nov;59(5):546-550.
A Case of Sarcoidosis with Cavitation
- Affiliations
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- 1Department of internal Medicine, Dan Kook University hospital, Chunan, Korea. drys99@dankook.ac.kr
- 2Department of Radiology, Dan Kook University hospital, Chunan, Korea.
- 3Department of Pathology, Dan Kook University hospital, Chunan, Korea.
Abstract
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Sarcoidosis is a rare systemic disorder with unknown cause that is characterized pathologically by non-caseating granuloma. The lung and mediastinal lymph nodes are almost always involved, and most patients experience acute or insidious respiratory symptom. Because sarcoidosis is an interstitial lung disorder involving the alveoli and bronchioles, the most common radiological finding is a reticularnodular lesion with lymphatic distribution. However, cavitation is quite rare. Sarcoidosis is also a major cause of hepatic granuloma in Western countries, accounting for 12% to 30% of cases. In most patients, the course of hepatic sarcoidosis is benign. However, chronic intrahepatic cholestasis or portal hypertension may develop in some patients. We report a case of sarcoidosis with cavitation and hepatic involvement.