Document Detail

Pulmonary sarcoidosis presenting with acute respiratory failure.
MedLine Citation:
PMID:  15813166     Owner:  NLM     Status:  MEDLINE    
This is a case report of pulmonary sarcoidosis presenting with acute respiratory failure. A 33-year-old black man presented with 4 days of headache and fever. He had subsequent development of respiratory failure on the seventh hospital day. Workup showed high serum angiotensin-converting enzyme and increased pulmonary parenchymal uptake of gallium. Extensive workup for collagen vascular disease and infectious pathology were negative. Transbronchial biopsy specimens of the lung parenchyma showed noncaseating epithelioid granulomas consistent with sarcoidosis. The patient was treated with intravenous methylprednisolone succinate with dramatic clinical improvement.
Naricha Chirakalwasan; Mohammed M Dallal
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  98     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-04-07     Completed Date:  2005-04-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  382-4     Citation Subset:  AIM; IM    
Department of Internal Medicine, Miami Valley Hospital, Wright State University, Dayton, OH, USA.
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MeSH Terms
Acute Disease
Diagnosis, Differential
Glucocorticoids / therapeutic use
Methylprednisolone Hemisuccinate / therapeutic use
Respiratory Insufficiency / diagnosis*
Sarcoidosis, Pulmonary / diagnosis,  drug therapy,  physiopathology*
Treatment Outcome
Reg. No./Substance:
0/Glucocorticoids; 2921-57-5/Methylprednisolone Hemisuccinate
Comment In:
South Med J. 2005 Mar;98(3):265   [PMID:  15813151 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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