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Published on: June 16, 2020
Pleural Sarcoidosis and Occult Lymphatic Anthracosis: An Unusual Symptomatic Association
Rosa Alves1, Bruno Sousa1, Francisco d'Orey2
1Department of Internal Medicine, Hospital Garcia de Orta, Almada, Portugal.
Abstract:
Sarcoidosis is a chronic multisystemic inflammatory disease of unknown aetiology. Virtually any organ or system can be involved, resulting in a wide range of clinical presentation. Pleural sarcoidosis is rare. Pleural effusion can only be attributed to pleural sarcoidosis in the presence of pleural non-caseating epithelioid granulomas and after excluding other granulomatous diseases. Anthracosis is a pneumoconiosis associated with thoracic adenopathies and bronchial disease, and it is usually asymptomatic. The authors present a case of a middle-aged man hospitalized due to cough, right-sided pleuritic chest pain and trepopnoea.
Learning Points:
To pursue a systematic and exhaustive investigation of pleuraleffusion until a definitive diagnosis is established.To recognize atypical presentations of sarcoidosis with a high degree of suspicion whenever the initial investigation is inconclusive.
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