Moudden M K, Ziadi T, Al Bouzidi A, Ouarssani A, Hadri L, El Baaj M
Service de médecine interne, hôpital militaire Moulay-Ismail, BP S15, Meknès, Maroc.
Service de radiologie, hôpital militaire Moulay-Ismail, Meknès, Maroc.
Rev Pneumol Clin. 2014 Dec;70(6):362-5. doi: 10.1016/j.pneumo.2014.07.001. Epub 2014 Aug 15.
Induced sarcoïdosis during therapy with interferon for chronic viral hepatitis C involves mainly by isolated cutaneous lesions or with lung lesions. Systemic forms are very rare. We report an observation. A 50-year-old patient developed a systemic sarcoïdosis two months after the end of treatment for hepatitis C with pegylated interferon and ribavirin with lung, joint and hepatic manifestations. After starting corticosteroid therapy, the evolution was favourable. Induced sarcoïdosis by interferon therapy is rare, treatment necessitates stopping interferon, and sometimes corticosteroid therapy.
聚乙二醇干扰素治疗慢性丙型病毒性肝炎期间诱发的结节病主要表现为孤立性皮肤病变或合并肺部病变。全身性形式非常罕见。我们报告一例病例。一名50岁患者在使用聚乙二醇干扰素和利巴韦林治疗丙型肝炎结束两个月后出现全身性结节病,伴有肺部、关节和肝脏表现。开始使用皮质类固醇治疗后,病情好转。干扰素治疗诱发的结节病很罕见,治疗需要停用干扰素,有时还需要皮质类固醇治疗。