Al-Bermani Tarik, Sabang Ralph, Epelbaum Oleg
Division of Pulmonary and Critical Care Medicine, NYC Health+Hospitals/Kings County, Brooklyn, NY, USA.
Division of Pulmonary, Critical Care and Sleep Medicine, Westchester Medical Center, Valhalla, NY, USA.
Respir Med Case Rep. 2025 May 3;56:102230. doi: 10.1016/j.rmcr.2025.102230. eCollection 2025.
Clinically significant pleural effusion is an extremely rare manifestation of sarcoidosis. Chylothorax associated with sarcoidosis is an even rarer phenomenon reported in the literature only as individual cases. According to the available literature, whenever chylothorax has occurred in the setting of sarcoidosis, this has almost invariably been in the setting of lymphadenopathy or at least in the setting of prior or concurrent evidence of thoracic sarcoidosis. We describe a patient with biopsy-proven abdominal sarcoidosis who developed chylothorax in the absence of lymphadenopathy or thoracic involvement and whose chylothorax rapidly and durably resolved after resumption of corticosteroid therapy.
具有临床意义的胸腔积液是结节病极为罕见的表现。与结节病相关的乳糜胸更是一种罕见现象，文献中仅作为个别病例报道。根据现有文献，只要在结节病背景下出现乳糜胸，几乎都伴有淋巴结病，或者至少有先前或同时存在的胸部结节病证据。我们描述了一名经活检证实为腹部结节病的患者，该患者在没有淋巴结病或胸部受累的情况下发生了乳糜胸，并且在恢复皮质类固醇治疗后，其乳糜胸迅速且持久地得到缓解。
