A Case of Sarcoidosis with Cavitation

폐 공동을 형성한 유육종증 1예

  • Lee, Bo Han (Department of internal Medicine, Dan Kook University hospital) ;
  • Kim, Jin Myong (Department of internal Medicine, Dan Kook University hospital) ;
  • Kim, Dong Woo (Department of internal Medicine, Dan Kook University hospital) ;
  • Kim, Jung Hyuk (Department of internal Medicine, Dan Kook University hospital) ;
  • Bang, Ki Tae (Department of internal Medicine, Dan Kook University hospital) ;
  • Lee, Kye Young (Department of internal Medicine, Dan Kook University hospital) ;
  • Jee, Young Koo (Department of internal Medicine, Dan Kook University hospital) ;
  • Kim, Jae Seuk (Department of internal Medicine, Dan Kook University hospital) ;
  • Lee, In Sun (Department of Radiology, Dan Kook University hospital) ;
  • Kwon, Mi Seon (Department of Pathology, Dan Kook University hospital) ;
  • Kim, Youn Seup (Department of internal Medicine, Dan Kook University hospital)
  • 이보한 (단국대학교 의과대학 내과학교실) ;
  • 김명진 (단국대학교 의과대학 내과학교실) ;
  • 김동우 (단국대학교 의과대학 내과학교실) ;
  • 김정혁 (단국대학교 의과대학 내과학교실) ;
  • 방기태 (단국대학교 의과대학 내과학교실) ;
  • 이계영 (단국대학교 의과대학 내과학교실) ;
  • 지영구 (단국대학교 의과대학 내과학교실) ;
  • 박재석 (단국대학교 의과대학 내과학교실) ;
  • 이인선 (단국대학교 의과대학 방사선학교실) ;
  • 권미선 (단국대학교 의과대학 해부병리학교실) ;
  • 김윤섭 (단국대학교 의과대학 내과학교실)
  • Received : 2005.07.28
  • Accepted : 2005.09.20
  • Published : 2005.11.30

Abstract

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.

Keywords

References

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