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Category: Masquerading as asthma

Sarcoidosis confined to the airway masquerading as asthma: DISCUSSION (2)

Although there seemed to be a temporal relation between the treatment and the patient’s response, the treatment course was much shorter than recommended . Resolution of airway edema may explain this rapid response. Spontaneous resolution of sarcoidosis occurs in up to two-thirds of patients , but endobronchial involvement, on the other hand, is reported to…

Sarcoidosis confined to the airway masquerading as asthma: DISCUSSION (1)

The first case of endobronchial involvement in sarcoidosis was reported in 1941 . Spirometry showed that obstruction was common (40% by current criteria) , while broncho-scopic evaluation showed a wide spectrum of involvement, including longitudinal stenosis and mass-like lesions . Our patient had disease confined to the airway without intrathoracic adenopathy, atelectasis or parenchymal pulmonary…

Sarcoidosis confined to the airway masquerading as asthma: CASE PRESENTATION (2)

She was transferred to the intensive care unit and was started on intravenous methylprednisolone 60 mg every 6 h because of intense inflammation of the airways and a history of asthma. After four days she was extubated, and methylpred-nisolone was discontinued. Biopsies showed noncaseating granulomas without evidence of mycobacterial or fungal infection on tissue stains…

Sarcoidosis confined to the airway masquerading as asthma: CASE PRESENTATION (1)

A 32-year-old woman was to have excision of a benign goiter when the distal trachea appeared abnormal during fiberoptic intubation. While still under general anesthesia, the authors were called to evaluate her for the first time. A review of her chart revealed dyspnea on exertion and nonproductive cough for three months.

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