Pak Alexey, Baigenzhin Abai, Zarkumova Zhanar, Chuvakova Elmira, Peradze Manana, Zaripova Lina
JSC National Scientific Medical Center, 42 Abylai Khan ave., 010009, Astana, Kazakhstan.
NCJSC Astana Medical University, 49/A Beibitshilik st., 010000, Astana, Kazakhstan.
Heliyon. 2024 Dec 6;10(24):e41041. doi: 10.1016/j.heliyon.2024.e41041. eCollection 2024 Dec 30.
Cavitary sarcoidosis is a rare form and represents non-caseating granulomatous diseases of the lungs exhibiting a narrow range of differential diagnoses. The peculiarity of this case lies in the difficulty of distinguishing atypical manifestations of pulmonary sarcoidosis, such as cystic lesions, from cavernous tuberculosis. Both possess similar clinical and radiological features. We report a case of a 36-year-old male, who has been under observation since 2019 without active complaints. Chest computed tomography revealed bilateral reticulo-nodular changes with the formation of extensive consolidation areas and cavities, аs well as mediastinal lymphadenopathy. This article represents clinical case of patient with recurrent cavitary sarcoidosis and underscores the necessity for monitoring and adjusting of the treatment of this complex condition because their course may be punctuated by several complications including pleural effusion, hemoptysis, aspergilloma, and pneumothorax.
空洞型结节病是一种罕见的类型，代表肺部的非干酪样肉芽肿性疾病，鉴别诊断范围较窄。该病例的特殊性在于难以将肺部结节病的非典型表现（如囊性病变）与空洞型肺结核区分开来。两者具有相似的临床和放射学特征。我们报告一例36岁男性病例，自2019年以来一直在观察中，无活动性主诉。胸部计算机断层扫描显示双侧网状结节改变，伴有广泛实变区和空洞形成，以及纵隔淋巴结肿大。本文介绍了一例复发性空洞型结节病患者的临床病例，并强调了监测和调整这种复杂疾病治疗的必要性，因为其病程可能会出现包括胸腔积液、咯血、曲菌球和气胸在内的多种并发症。
