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Hemorrhagic sarcoid pleural effusion: A rare entity
Onkar Jha1, Vidya Nair1, Deepak Talwar1
1Metro Centre for Respiratory Diseases, Metro Multispeciality and Heart Institute, Noida, Uttar Pradesh, India.
Lung India : Official Organ of Indian Chest Society
|September 15, 2016
Summary
Sarcoidosis rarely affects the pleura, with hemorrhagic pleural effusion being an exceptionally uncommon presentation. This case highlights the importance of tissue diagnosis to differentiate sarcoidosis from malignancy in such rare instances.
Area of Science:
- Pulmonology
- Thoracic Medicine
- Pathology
Background:
- Sarcoidosis is a multisystem inflammatory disease.
- Pleural involvement in sarcoidosis is uncommon.
- Hemorrhagic pleural effusion is a rare manifestation of sarcoidosis.
Purpose of the Study:
- To report a rare case of active pulmonary sarcoidosis presenting as hemorrhagic pleural effusion.
- To emphasize the diagnostic challenges and the need for tissue biopsy to exclude malignancy.
- To contribute to the literature on rare pleural manifestations of sarcoidosis.
Main Methods:
- Case report of a patient with active pulmonary sarcoidosis.
- Clinical presentation of hemorrhagic pleural effusion.
- Diagnostic workup including tissue biopsy to rule out malignancy.
Main Results:
- The patient presented with active pulmonary sarcoidosis.
- Hemorrhagic pleural effusion was the initial presentation.
- Tissue diagnosis was crucial for confirming sarcoidosis and excluding other causes.
Conclusions:
- Sarcoidosis can present with rare pleural manifestations like hemorrhagic effusion.
- Distinguishing sarcoidosis from malignancy in such cases requires thorough investigation.
- This case underscores the diagnostic variability of sarcoidosis-related pleural disease.
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