Caso Clínico/Case Report
Sarcoidose: Uma forma rara de apresentação
Sarcoidosis: A less common presentation
Jessica Cemlyn-Jones1,
, Fernanda Gamboa2, Luísa Teixeira3, João Bernardo4, Carlos Robalo Cordeiro5
Corresponding author
jcemlynjones@yahoo.com
Departamento de Ciências Pneumológicas e Alergológicas dos Hospitais da Universidade de Coimbra, Director de Serviço: Dr. Mário Chaves Loureiro, Director de Departamento: Prof. Doutor Manuel Fontes Baganha, Av. Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra.
Departamento de Ciências Pneumológicas e Alergológicas dos Hospitais da Universidade de Coimbra, Director de Serviço: Dr. Mário Chaves Loureiro, Director de Departamento: Prof. Doutor Manuel Fontes Baganha, Av. Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra.
1 Interna Complementar de Pneumologia, Hospitais da Universidade de Coimbra
2 Assistente Hospitalar de Pneumologia, Hospitais da Universidade de Coimbra
3 Chefe de Serviço de Radiodiagnóstico, Hospitais da Universidade de Coimbra
4 Chefe de Serviço de Cirurgia Cardiotorácica, Hospitais da Universidade de Coimbra
5 Coordenador da Unidade Funcional de Técnicas de Diagnóstico e Terapêutica, Hospitais da Universidade de Coimbra
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Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Sarcoidosis: A less common presentation" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-11-04" "fechaAceptado" => "2008-12-19" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570295" "palabras" => array:3 [ 0 => "Sarcoidose" 1 => "múltiplos nódulos pulmonares bilaterais" 2 => "remissão espontânea" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570294" "palabras" => array:3 [ 0 => "Sarcoidosis" 1 => "multiple bilateral nodular shadows" 2 => "spontaneous remission" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">A apresentação clínica da sarcoidose é diversa e em mais de 90% dos casos existe envolvimento pulmonar. Os achados radiológicos mais frequentes aquan-do do diagnóstico são a presença de adenopatias hila-res e infiltrados pulmonares.</p><p id="sp0105" class="elsevierStyleSimplePara elsevierViewall">Os autores apresentam o caso de uma doente jovem cuja radiografia torácica apresentava múltiplos nódulos bilaterais. A biópsia cirúrgica revelou a presença de granulomas não necrotizantes com células gigantes multinucleadas, compatível com sarcoidose. Apesar de se tratar de uma sarcoidose pulmonar estádio III, a doente apresentava-se assintomática, o estudo funcional ventilatório era normal e não havia si-nais de envolvimento extratorácico, pelo que foi decidido não iniciar tratamento. Houve remissão espontânea das lesões, comprovada em tomografia computorizada de alta resolução após um ano.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (3): 543-552</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">The clinical presentation of sarcoidosis is diverse and in over 90% of patients there is pulmonary involvement. The most common features of the radiographic findings at the time of diagnosis are bilateral hilar lymphadenopathy and pulmonary infiltration.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">The authors report the case of a young female patient who presented with multiple bilateral nodular shadows on chest radiograph. Surgical biopsy revealed non-necrotizing granulomas with occasional multi-nucleated giant cells compatible with sarcoidosis. Al-though this was a case of stage III pulmonary disease, the patient was asymptomatic, lung function tests were normal and there were no signs of extrathoracic involvement. Spontaneous remission occurred with-out treatment as shown on high resolution CT scan follow-up, one year later.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (3): 543-552</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia/Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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ISSN: 08732159Original language: Portuguese
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| 2021 November | 24 | 37 | 61 |
| 2021 October | 22 | 33 | 55 |
| 2021 September | 28 | 27 | 55 |
| 2021 August | 21 | 14 | 35 |
| 2021 July | 31 | 11 | 42 |
| 2021 June | 17 | 25 | 42 |
| 2021 May | 19 | 24 | 43 |
| 2021 April | 56 | 32 | 88 |
| 2021 March | 39 | 15 | 54 |
| 2021 February | 39 | 15 | 54 |
| 2021 January | 37 | 19 | 56 |
| 2020 December | 17 | 10 | 27 |
| 2020 November | 52 | 17 | 69 |
| 2020 October | 28 | 25 | 53 |
| 2020 September | 47 | 17 | 64 |
| 2020 August | 58 | 25 | 83 |
| 2020 July | 92 | 18 | 110 |
| 2020 June | 55 | 16 | 71 |
| 2020 May | 62 | 17 | 79 |
| 2020 April | 75 | 10 | 85 |
| 2020 March | 61 | 4 | 65 |
| 2020 February | 34 | 16 | 50 |
| 2020 January | 51 | 16 | 67 |
| 2019 December | 53 | 20 | 73 |
| 2019 November | 58 | 11 | 69 |
| 2019 October | 50 | 16 | 66 |
| 2019 September | 42 | 15 | 57 |
| 2019 August | 77 | 17 | 94 |
| 2019 July | 51 | 16 | 67 |
| 2019 June | 62 | 20 | 82 |
| 2019 May | 66 | 33 | 99 |
| 2019 April | 60 | 48 | 108 |
| 2019 March | 79 | 17 | 96 |
| 2019 February | 76 | 16 | 92 |
| 2019 January | 64 | 23 | 87 |
| 2018 December | 35 | 16 | 51 |
| 2018 November | 7 | 3 | 10 |
| 2018 October | 17 | 6 | 23 |
| 2018 September | 15 | 8 | 23 |
| 2018 August | 31 | 21 | 52 |
| 2018 July | 36 | 30 | 66 |
| 2018 June | 37 | 18 | 55 |
| 2018 May | 50 | 17 | 67 |
| 2018 April | 42 | 29 | 71 |
| 2018 March | 54 | 23 | 77 |
| 2018 February | 23 | 13 | 36 |
| 2018 January | 39 | 13 | 52 |
| 2017 December | 47 | 8 | 55 |
| 2017 November | 20 | 13 | 33 |
| 2017 October | 16 | 7 | 23 |
| 2017 September | 26 | 23 | 49 |
| 2017 August | 17 | 10 | 27 |
| 2017 July | 19 | 13 | 32 |
| 2017 June | 21 | 15 | 36 |
| 2017 May | 27 | 7 | 34 |
| 2017 April | 9 | 6 | 15 |
| 2017 March | 18 | 17 | 35 |
| 2017 February | 14 | 5 | 19 |
| 2017 January | 10 | 5 | 15 |
| 2016 December | 14 | 4 | 18 |
| 2016 November | 10 | 5 | 15 |
| 2016 October | 11 | 12 | 23 |
| 2016 September | 2 | 6 | 8 |
| 2016 August | 3 | 6 | 9 |
| 2016 July | 3 | 4 | 7 |
| 2016 June | 1 | 0 | 1 |
| 2016 May | 2 | 11 | 13 |
| 2016 April | 2 | 13 | 15 |
| 2016 March | 1 | 4 | 5 |
| 2016 February | 3 | 4 | 7 |
| 2016 January | 9 | 5 | 14 |
| 2015 December | 7 | 2 | 9 |
| 2015 November | 5 | 1 | 6 |
| 2015 October | 4 | 1 | 5 |
Show all
