Hospital practice (Office ed.)
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Hosp. Pract. (Off. Ed.) · Sep 1983
Case ReportsDyspnea, right-axis deviation, and abnormal P waves in a young woman.
A 22-year-old woman is seen for progressive dyspnea on exertion experienced for the past six months. She has no dyspnea at rest, orthopnea, cough, or other symptoms. There is no history of heart murmurs, rheumatic fever, or pulmonary disease. ⋯ The chest roentgenogram shows slight cardiac enlargement of nonspecific contour, with a considerably enlarged main pulmonary artery segment and moderately prominent central pulmonary artery branches. The peripheral lung fields are unremarkable. The electrocardiogram is shown.
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Predominantly a disease of young adults, sarcoidosis may present in a variety of guises, masquerading as acute rheumatoid arthritis, lymphadenopathy, cor pulmonale, erythema nodosum, Crohn's disease, etc. Although the characteristic granulomatous lesions of sarcoidosis can affect almost any organ system, they will appear on chest films in at least 90% of patients.