A Case of Sarcoidosis Presenting with Bilateral Exudative Pleural Effusion and Generalized Edema, and Diagnosed by Local Anesthetic Thoracoscopy
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- Shinozaki-Dai Ayuka
- Department of Respiratory Medicine, Graduate School of Medicine, Hokkaido University
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- Kimura Hirokazu
- Department of Respiratory Medicine, Graduate School of Medicine, Hokkaido University
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- Yamashita Yu
- Department of Respiratory Medicine, Graduate School of Medicine, Hokkaido University
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- Horii Hiroshi
- Department of Respiratory Medicine, Graduate School of Medicine, Hokkaido University
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- Sato Kazuki
- Department of Respiratory Medicine, Graduate School of Medicine, Hokkaido University
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- Nakamura Junichi
- Department of Respiratory Medicine, Graduate School of Medicine, Hokkaido University
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- Nakakubo Sho
- Department of Respiratory Medicine, Graduate School of Medicine, Hokkaido University
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- Kamada Keisuke
- Department of Respiratory Medicine, Graduate School of Medicine, Hokkaido University
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- Suzuki Masaru
- Department of Respiratory Medicine, Graduate School of Medicine, Hokkaido University
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- Nakazato Shinichi
- Department of Surgical Pathology, Hokkaido University Hospital
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- Matsuno Yoshihiro
- Department of Surgical Pathology, Hokkaido University Hospital
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- Konno Satoshi
- Department of Respiratory Medicine, Graduate School of Medicine, Hokkaido University
Bibliographic Information
- Other Title
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- 両側滲出性胸水と全身浮腫で発症し，局所麻酔下胸腔鏡でサルコイドーシスと診断した1例
Abstract
<p>66歳，男性．倦怠感と全身浮腫，両側滲出性胸水を認めたが，血液検査や画像検査，胸水検査で特異的所見は認めなかった．局所麻酔下胸腔鏡検査の結果，胸膜に多発結節性病変があり，病理組織像で非乾酪性類上皮細胞肉芽腫を認めた．気管支鏡検査所見もサルコイドーシスに矛盾なく，サルコイドーシス（組織診断群）と診断した．滲出性胸水を伴う症例で一般的な検査で特異的所見がない場合，局所麻酔下胸腔鏡検査を検討することが重要である．</p>
Journal
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- Nihon Naika Gakkai Zasshi
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Nihon Naika Gakkai Zasshi 111 (5), 984-991, 2022-05-10
The Japanese Society of Internal Medicine
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Keywords
Details 詳細情報について
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- CRID
- 1390577519390182656
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- ISSN
- 18832083
- 00215384
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed