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[Sarcoid-like necrotizing granulomatosis. A case report]
S Abdelmoula1, E Ben Brahim, M Lagha
1Service d'Anatomie et de Cytologie Pathologiques, Hôpital Mohamed-Tahar-Maâmouri, Route de Merazka, 8000 Nabeul, Tunisie. selmaab@yahoo.fr
Abstract:
Necrotizing sarcoid granulomatosis is a rare granulomatous pulmonary angeitis that was first described by Liebow in 1973. We report the case of a 36-year-old woman who was admitted for exploration of chest pain, cough and fever at 39 degrees which had progressed for more than 2 months. Chest X-ray showed several inconstant pulmonary opacities. The physical examination, the radiographic and endoscopic aspects were non-specific. The diagnosis was made only by open lung biopsy which showed histological findings of necrotizing sarcoid granulomatosis. The opacities disappeared with no recurrence spontaneously at one year.
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