Bansal Sameer, Utpat Ketaki, Desai Unnati, Basu Sandip, Joshi Jyotsna M
Department of Pulmonary Medicine, T. N. Medical College, B. Y. L. Nair Hospital, Mumbai, Maharashtra, India.
Radiation Medicine Centre, BARC, Tata Memorial Centre Annexe, Mumbai, Maharashtra, India.
Indian J Nucl Med. 2017 Jul-Sep;32(3):217-220. doi: 10.4103/ijnm.IJNM_152_16.
Airway involvement, tracheobronchial nodularity, and calcification are rare occurrences and unorthodox phenomena in sarcoidosis. Here, we report such an unusual case manifesting as tracheal calcification and nodules of the central airways. Radiology and bronchoscopy provide useful diagnostic clues when combined with histopathology. This case serves as an aide-memorie for the variegated presentations of sarcoidosis and emphasizes a high index of suspicion for the entity in such unconventional circumstances. An early favorable treatment response assessment to corticosteroid therapy was shown with F-fludeoxyglucose positron emission tomography/computed tomography.
气道受累、气管支气管结节及钙化在结节病中较为罕见且属于非典型现象。在此,我们报告这样一例不寻常病例,其表现为气管钙化及中央气道结节。放射学检查和支气管镜检查与组织病理学检查相结合时可提供有用的诊断线索。该病例可作为结节病多样表现的一个提示,并强调在这种非传统情况下对此病要有高度的怀疑指数。氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描显示对皮质类固醇治疗有早期良好的治疗反应评估。