Kita T, Iwata M, Ida M, Horiguchi T, Fujimoto K, Sato A
Department of Respiratory Medicine, General Hospital, Shizuoka, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1994 Sep;32(9):913-7.
A 23-year-old man was admitted to our hospital because of non-productive cough. Chest X-ray demonstrated bilateral hilar lymphadenopathy, bilateral infiltration shadows and right pleural effusion. ECG showed complete A-V block and sinus arrest. Transbronchial lung biopsy and pleural biopsy specimens showed non-necrotizing epithelioid cell granulomas. The patient was diagnosed as having sarcoidosis, and was treated with steroid and pacemaker. After steroid therapy, myocardial imaging with thallium-201 showed increase of uptake and the pleural effusion disappeared.
一名23岁男性因干咳入院。胸部X线显示双侧肺门淋巴结肿大、双侧浸润影及右侧胸腔积液。心电图显示完全性房室传导阻滞和窦性停搏。经支气管肺活检和胸膜活检标本显示非坏死性上皮样细胞肉芽肿。该患者被诊断为结节病，并接受了类固醇和起搏器治疗。类固醇治疗后，用铊-201进行心肌显像显示摄取增加，胸腔积液消失。
