Seeds in the Lungs: A Pseudo-Miliary Pattern of Sarcoidosis

We present a 26-year-old African-American gentleman with no significant past medical history who presented with a three-day history of dry cough. Computerized tomography of the chest showed scattered infiltrates consistent with a pseudo-miliary pattern. A transbronchial biopsy showed non-caseating g...

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Detalles Bibliográficos
Autores principales: Khanal, Subrat, Murali, Sindhubarathi, Ghimire, Pranita, Chu, Andrew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8866100/
https://www.ncbi.nlm.nih.gov/pubmed/35228928
http://dx.doi.org/10.7759/cureus.21569
Descripción
Sumario:We present a 26-year-old African-American gentleman with no significant past medical history who presented with a three-day history of dry cough. Computerized tomography of the chest showed scattered infiltrates consistent with a pseudo-miliary pattern. A transbronchial biopsy showed non-caseating granulomas confirming our suspicion for pulmonary sarcoidosis. Miliary sarcoidosis is rare; therefore, health care providers should consider other diagnoses such as tuberculosis, malignancy, and pneumoconiosis.

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