A Case of Pseudoalveolar Sarcoidosis with Unilateral Pulmonary Infiltration.

Kim, Hee Kyung; Ban, Hee Jung; Chi, Su Young; Chae, Dong Ryeol; Cho, Gye Jung; Lim, Jung Hwan; Ju, Jin Yung; Kwon, Yong Soo; Oh, In Jae; Kim, Kyu Sik; Kim, Yu Il; Lim, Sung Chul; Kim, Young Chul

doi:2008.64.2.149

Tuberc Respir Dis > Volume 64(2); 2008 > Article

Case Report

Tuberculosis and Respiratory Diseases 2008;64(2):149-152.
DOI: https://doi.org/10.4046/trd.2008.64.2.149 Published online February 1, 2008.

A Case of Pseudoalveolar Sarcoidosis with Unilateral Pulmonary Infiltration.

Hee Kyung Kim, Hee Jung Ban, Su Young Chi, Dong Ryeol Chae, Gye Jung Cho, Jung Hwan Lim, Jin Yung Ju, Yong Soo Kwon, In Jae Oh, Kyu Sik Kim, Yu Il Kim, Sung Chul Lim, Young Chul Kim

Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. droij@chonnam.ac.kr

Abstract

A sarcoidosis is a multisystemic granulomatous disorder that has a predilection for pulmonary involvement, and the common radiological findings for the disease are bilateral nodular or reticulonodular patterns. Pseudoalveolar sarcoidosis is a rare presentation of sarcoidosis. The radiological finding is an alveolar pattern that involves or compresses the alveoli by clustered interstitial granuloma. A 58-year-old man was admitted due to incidental findings of a unilateral consolidative lesion as seen on chest radiography. A chest computed tomography (CT) examination showed multiple bronchoalveolar consolidations that were suspicious of a malignancy. However, a percutaneous needle biopsy revealed non-caseating granuloma with an asteroid body that was compatible with sarcoidosis. After one month, the consolidative lesions improved without any treatment.

Key Words: Pseudoalveolar, Sarcoidosis, Unilateral