肺部的结节：结节病的假粟粒样表现

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

作者信息

Khanal Subrat, Murali Sindhubarathi, Ghimire Pranita, Chu Andrew

机构信息

Pulmonary and Critical Care, State University of New York Upstate Medical University, Syracuse, USA.

Medicine, State University of New York Upstate Medical University, Syracuse, USA.

出版信息

Cureus. 2022 Jan 24;14(1):e21569. doi: 10.7759/cureus.21569. eCollection 2022 Jan.

DOI:10.7759/cureus.21569

PMID:35228928

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8866100/

Abstract

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.

摘要

我们报告一位26岁的非裔美国男性，既往无重大病史，出现干咳3天。胸部计算机断层扫描显示散在浸润，符合伪粟粒样模式。经支气管活检显示非干酪样肉芽肿，证实了我们对肺结节病的怀疑。粟粒性结节病很罕见；因此，医疗保健提供者应考虑其他诊断，如结核病、恶性肿瘤和尘肺。