A Case of Sarcoidosis, Complaining of Nasal Obstruction due to Nasal Mucosal Lesion
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- Uetake Takeshi
- Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital
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- Takahashi Naoki
- Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital
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- Suzuki Toshio
- Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital
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- Kudoh Shoji
- Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital
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- Hirayama Masakiyo
- Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital
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- Kimura Hitoshi
- Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital
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- Miyashita Hisao
- Department of Otolaryngology, Tokyo Metropolitan Komagome Hospital
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- Motizuki Takanori
- Department of Pathology, Tokyo Metropolitan Komagome Hospital
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- Hongo Osamu
- Department of Dermatology, Tokyo Metropolitan Komagome Hospital
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- Kaneda Hideki
- Department of Internal Medicine, Shirai Chuo Hospital
Bibliographic Information
- Other Title
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- 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
- 41報告例の文献的考察
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Abstract
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.
Journal
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- The Japanese journal of thoracic diseases
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The Japanese journal of thoracic diseases 21 (7), 672-678, 1983
The Japanese Respiratory Society