Joshi Sharad, Periwal Pallavi, Dogra Vikas, Talwar Deepak
Department of Pulmonary & Critical Care Medicine, Metro Centre for Respiratory Diseases, Metro Multispeciality Hospital, L-94, Sector-XI, Noida, U.P., 201301, India.
Respir Med Case Rep. 2015 Oct 13;16:143-5. doi: 10.1016/j.rmcr.2015.09.011. eCollection 2015.
Sarcoidosis is a multisystem granulomatous disease of unknown etiology. Pleural involvement is relatively rare. Development of pleural effusion in sarcoidosis needs to be evaluated for other causes, especially tuberculosis in endemic countries. Sarcoid pleural effusion responds to systemic corticosteroids. We are presenting case of 42 year old male patient of sarcoidosis who developed massive pleural effusion while on treatment with steroids, which was attributed to disease per se. Sarcoidosis as a cause of massive pleural effusion has not been mentioned before in published literature.
结节病是一种病因不明的多系统肉芽肿性疾病。胸膜受累相对少见。结节病患者出现胸腔积液时，需要评估是否存在其他病因，在疾病流行国家尤其要考虑结核病。结节病性胸腔积液对全身使用糖皮质激素有反应。我们报告一例42岁男性结节病患者，该患者在接受类固醇治疗期间出现大量胸腔积液，这被认为是疾病本身所致。既往发表的文献中未曾提及结节病可作为大量胸腔积液的病因。
