鼻粘膜病変による高度の鼻閉を初発としたサルコイドーシスの1例  41報告例の文献的考察

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  • A Case of Sarcoidosis, Complaining of Nasal Obstruction due to Nasal Mucosal Lesion
  • 41報告例の文献的考察

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A 28-year-old man was admitted with nasal stuffiness of 12 months' duration. physical examination revealed generalized discrete enlargement of the lymphnodes and multiple subcutaneous nodules. He had a severe nasal obstruction, due to marked granulomatous hypertrophy of the nasal septum and bilateral inferior turbinates. The chest X-ray film showed BHL and diffuse small nodular lesions in both lung fields. There was abnormal 67Ga accumulation in the nose as well as in the lung. A diagnosis of sarcoidosis was confirmed by biopsy of nasal mucosa, lymphnode, subcutaneous nodule and by transbronchial lung biopsy, which showed non-caseating granuloma. The nasal mucosal lesion as well as intra- and extra-thoracic lesions responded to corticosteroid therapy with marked improvement.

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