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Sarcoidosis masquerading as eosinophilic pneumonia.
S K Willsie-Ediger1, G A Salzman, W P Schaetzel
1School of Medicine, University of Missouri-Kansas City 64108.
The Journal of the American Osteopathic Association
|June 1, 1992
Summary
Differentiating chronic eosinophilic pneumonia from sarcoidosis can be challenging. This case highlights the importance of considering sarcoidosis in patients with bilateral peripheral pulmonary infiltrates, even when initial tests are inconclusive.
Area of Science:
- Pulmonology
- Radiology
- Pathology
Background:
- Bilateral peripheral pulmonary infiltrates can present diagnostic challenges.
- Chronic eosinophilic pneumonia and sarcoidosis share overlapping radiographic features.
Observation:
- A 29-year-old woman presented with dyspnea, fever, cough, and weight loss.
- Chest roentgenogram showed bilateral peripheral infiltrates.
- Bronchoscopy and corticosteroid trial were nondiagnostic.
Findings:
- Open lung biopsy confirmed sarcoidosis.
- Radiographic differentiation between sarcoidosis and chronic eosinophilic pneumonia can be difficult.
Implications:
- This case underscores the need for a comprehensive diagnostic approach for peripheral pulmonary infiltrates.
- Considering sarcoidosis in the differential diagnosis is crucial for accurate patient management.