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Spectrum of Pleural Involvement in Sarcoidosis
Jerome F. Beekman, MD;
Steven M. Zimmet, MD;
B. K. Chun, MD;
Armando A. Miranda, MD;
Sol Katz, MD
Arch Intern Med. 1976;136(3):323-330.
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Pleural involvement has been considered generally an unusual manifestation of sarcoidosis. When pleural disease is noted in a patient with sarcoidosis, a concomitant disease is usually suspected as the cause of the pleural process. Reports of pleural sarcoidosis have been increasing in the literature recently, but diagnostic criteria for the entity are lacking.
In this paper, five previously unreported cases of sarcoidosis involving the pleura are presented. These cases illustrate the way pleural sarcoidosis may appear, as noncaseating granulomas in the pleura, with or without effusion. While clinical manifestations of pleural involvement caused by sarcoidosis are unusual, histologic involvement may not be as rare as is usually thought.
PATIENT SUMMARIES
PATIENT 1.—
A 32-year-old woman was admitted to Georgetown University Hospital with an eight-month history of fatigue, dry cough, and mild dyspnea on exertion. She denied symptoms of fever, night sweats, or chest pain. On physical examination, the only abnormalities
. . . [Full Text PDF of this Article]
Author Affiliations
From the Pulmonary Disease Division, departments of medicine and pathology, Georgetown University Medical Center, Washington, DC.
Footnotes
Received for publication April 1, 1975; accepted June 18.
Reprint requests to Pulmonary Disease Division, Department of Medicine, Georgetown University Hospital, 3800 Reservoir Rd NW, Washington, DC 20007 (Dr Beekman).
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