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Atypical Fibrotic-Mimicking Pulmonary Sarcoidosis in a Young Female: The Basal Conundrum
Ali Gohar1, Aemin Tariq1, Arham Saif2
1Department of Pulmonology and Sleep Medicine Lahore General Hospital Lahore Punjab Pakistan.
Abstract:
Pulmonary sarcoidosis is a systemic inflammatory disease characterized by the formation of non-caseating granulomas; it typically presents with bilateral hilar lymphadenopathy and upper-lobe predominant interstitial infiltrates. However, atypical radiological presentations can mimic fibrotic interstitial lung diseases, posing a significant diagnostic challenge. We present a case of pulmonary sarcoidosis in a young female who had a confounding basal-peripheral phenotype, eventually diagnosed through endobronchial biopsy showing non-necrotizing granulomas with asteroid bodies.
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