A case of sarcoidosis associated with chronic eosinophilic pneumonia

DOI: 10.4236/crcm.2014.32022   PDF   HTML   XML   9,154 Downloads   10,194 Views  

Abstract

A 78-year-old woman was referred to our university hospital due to dry cough, fever, and weight loss. Laboratory revealed blood eosinophilia, high ESR, CRP and LDH. Rheumatologic markers were negative. Chest X-ray showed ground glass opacities in upper lobes. Uveitis developed in the left eye 1 week after admission. Thorax CT revealed ground glass opacities, reticular appearence in the upper lobes, enlarged axillary and mediastinal lymph nodes. Bronchoalveolar lavage CD4/CD8 was 2.1 and had 48% eosinophils. Histopathologic examination revealed eosinophilic infiltration and non-caseating epitheloid granulomas in the lung and mediastinal lymph nodes without vasculitis. Symptoms, blood eosinophilia and initial thorax CT findings improved after two months of methylprednisolone treatment. Chronic eosinophilic pneumonia is a rare disease characterized by systemic and pulmonary manifestations. It may be associated with other diseases.

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Yanardag, H. , Tetikkurt, C. , Sezgin, A. , Oruc, E. and Bilir, M. (2014) A case of sarcoidosis associated with chronic eosinophilic pneumonia. Case Reports in Clinical Medicine, 3, 89-91. doi: 10.4236/crcm.2014.32022.

Conflicts of Interest

The authors declare no conflicts of interest.

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