A Case of Sarcoidosis with Cavitation.

Lee, Bo Han; Kim, Jin Myong; Kim, Dong Woo; Kim, Jung Hyuk; Bang, Ki Tae; Lee, Kye Young; Jee, Young Koo; Kim, Jae Seuk; Kim, Youn Seup; Lee, In Sun; Kwon, Mi Seon

doi:2005.59.5.546

Tuberc Respir Dis > Volume 59(5); 2005 > Article

Case Report

Tuberculosis and Respiratory Diseases 2005;59(5):546-550.
DOI: https://doi.org/10.4046/trd.2005.59.5.546 Published online November 1, 2005.

A Case of Sarcoidosis with Cavitation.

Bo Han Lee, Jin Myong Kim, Dong Woo Kim, Jung Hyuk Kim, Ki Tae Bang, Kye Young Lee, Young Koo Jee, Jae Seuk Kim, Youn Seup Kim, In Sun Lee, Mi Seon Kwon

¹Department of internal Medicine, Dan Kook University hospital, Chunan, Korea. drys99@dankook.ac.kr
²Department of Radiology, Dan Kook University hospital, Chunan, Korea.
³Department of Pathology, Dan Kook University hospital, Chunan, Korea.

Abstract

Sarcoidosis is a rare systemic disorder with unknown cause that is characterized pathologically by non-caseating granuloma. The lung and mediastinal lymph nodes are almost always involved, and most patients experience acute or insidious respiratory symptom. Because sarcoidosis is an interstitial lung disorder involving the alveoli and bronchioles, the most common radiological finding is a reticularnodular lesion with lymphatic distribution. However, cavitation is quite rare. Sarcoidosis is also a major cause of hepatic granuloma in Western countries, accounting for 12% to 30% of cases. In most patients, the course of hepatic sarcoidosis is benign. However, chronic intrahepatic cholestasis or portal hypertension may develop in some patients. We report a case of sarcoidosis with cavitation and hepatic involvement.

Key Words: Sarcoidosis, Cavity, Hepatic granuloma