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…
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…
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…
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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