结节病患者出现血性胸腔积液。

Bloody pleural effusion in a patient with sarcoidosis.

作者信息

De Vuyst P, De Troyer A, Yernault J C

出版信息

Chest. 1979 Nov;76(5):607-9. doi: 10.1378/chest.76.5.607.

DOI:10.1378/chest.76.5.607

Abstract

A 50-year old man was evaluated for pleuritic pain.. Chest roentgenogram showed diffuse parenchymal infiltrates and bilateral effusion that, on thoracocentesis, was found to be a bloody fluid. Biopsy of paratracheal nodes demonstrated abundant noncaseating granulomas consistent with sarcoidosis. Prednisone therapy resulted in rapid disappearance of the pleural effusion, progressive clearing of parenchymal infiltrates, and marked improvement of pulmonary function tests. Sarcoidosis should be included in the differential diagnosis of bloody pleural effusion.

摘要

一名50岁男性因胸膜炎性胸痛接受评估。胸部X线片显示弥漫性实质浸润和双侧胸腔积液，胸腔穿刺抽出的积液为血性。气管旁淋巴结活检显示大量非干酪样肉芽肿，符合结节病表现。泼尼松治疗后胸腔积液迅速消失，实质浸润逐渐消散，肺功能检查明显改善。结节病应列入血性胸腔积液的鉴别诊断。