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KMID : 0880520070430030220
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Chonnam Medical Journal
2007 Volume.43 No. 3 p.220 ~ p.223
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A Case of Pulmonary Sarcoidosis which has Similar Findings of Miliary Tuberculosis
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Ji Seung-Gyu
Ban Hee-Jung
Lim Jung-Hwan
Cho Gye-Jung
Ju Jin-Young
Chae Dong-Ryeol
Oh In-Jae
Kim Kyu-Sik
Kim Yu-Il
Lim Sung-Chul
Kim Young-Chul
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Abstract
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Sarcoidosis is a multisystemic granulomatous disorder of unknown etiology that affects individuals worldwide and is characterized pathologically by the presence of noncaseating granulomas in the involved organ. Sarcoidosis most frequently involves the lung and the common presenting symptoms are cough, dyspnea, and chest pain. The typical radiologic findings are bilateral hilar lymphadenopathies and reticular opacities. We herein report a case with pulmonary sarcoidosis that misdiagnosed as a miliary tuberculosis. A 29-year-old male presented with cough and dyspnea. Because the chest radiograph showed randomly distributed miliary nodules in both lungs and his sputum TB-PCR was positive once, we diagnosed as miliary tuberculosis initially. Despite of anti-tuberculous medications for 6 months, his respiratory symptoms and radiologic findings were not improved. Finally by the open lung biopsy, we could diagnose the pulmonary sarcoidosis. After taking corticosteroid, his symptoms were improved gradually.
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KEYWORD
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Pulmonary sarcoidosis, Miliary tuberculosis, Corticosteroid
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