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Nihon Kyobu Shikkan Gakkai Zasshi · Sep 1994
Case Reports[A case of sarcoidosis associated with severe cardiac conduction disturbances and unilateral pleural effusion].
- T Kita, M Iwata, M Ida, T Horiguchi, K Fujimoto, and A Sato.
- Department of Respiratory Medicine, General Hospital, Shizuoka, Japan.
- Nihon Kyobu Shikkan Gakkai Zasshi. 1994 Sep 1; 32 (9): 913-7.
AbstractA 23-year-old man was admitted to our hospital because of non-productive cough. Chest X-ray demonstrated bilateral hilar lymphadenopathy, bilateral infiltration shadows and right pleural effusion. ECG showed complete A-V block and sinus arrest. Transbronchial lung biopsy and pleural biopsy specimens showed non-necrotizing epithelioid cell granulomas. The patient was diagnosed as having sarcoidosis, and was treated with steroid and pacemaker. After steroid therapy, myocardial imaging with thallium-201 showed increase of uptake and the pleural effusion disappeared.
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