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Revista Uruguaya de Medicina Interna

Print version ISSN 2393-6797On-line version ISSN 2393-6797


AMARAL, Mauricio. Pulmonary sarcoidosis: case report and update. Rev. Urug. Med. Int. [online]. 2016, vol.1, n.3, pp.118-131. ISSN 2393-6797.

ABSTRACT Introduction: Sarcoidosis is a multisystem granulomatous disease of unknown etiology, clinical presentation and variable course. The lung is the most affected organ (90% cases). While the diagnosis is anatomopathological, in particular situations may arise based on the same clinical and radiological findings. Treatment is indicated in the symptomatic patient and / or one patient who demonstrated a respiratory functional compromise. analysis of 7 cases of sarcoidosis of a national reference center in intersticiopatías is presented, according to the clinical, radiologic, and laboratory respiratory response to treatment. Results: 7 patients (5 women, 2 men) with a mean age 47 years at diagnosis, 9.7 years average follow-up time. 6/7 were symptomatic at diagnosis. Respiratory function was normal in 4 and the remaining 3 had an obstructive pattern. Diffusion of carbon monoxide was normal in all at diagnosis. All were treated with corticosteroids. The re-evaluation stresses that all were asymptomatic and the diffusion of carbon monoxide remained normal in only 4 of them. Discussion: Although it is a series of a few cases, showed good clinical and functional evolution with the treatment performed as seen in other published studies evolution. Not being thus the results of radiology evolution.

Keywords : pulmonary sarcoidosis.

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