Sarcoidosis: A less common presentation
Sarcoidose: Uma forma rara de apresentação
Jessica Cemlyn-Jones1, Fernanda Gamboa2, Luísa Teixeira3, João Bernardo4, Carlos Robalo Cordeiro5, Loureiro Mário Chaves6, Fontes Baganha Doutor Manuel6, Pinto Mota6
1 Interna Complementar de Pneumologia
2 Assistente Hospitalar de Pneumologia
3 Chefe de Serviço de Radiodiagnóstico
4 Chefe de Serviço de Cirurgia Cardiotorácica
5 Coordenador da Unidade Funcional de Técnicas de Diagnóstico e Terapêutica Hospitais da Universidade de Coimbra
6 Departamento de Ciências Pneumológicas e Alergológicas dos Hospitais da Universidade de Coimbra, Av. Bissaya Barreto e Praceta, 3000-075 Coimbra.
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"etiqueta" => "<span class="elsevierStyleSup">6</span>" "identificador" => "aff0030" ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Sarcoidose: Uma forma rara de apresentação" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-11-04" "fechaAceptado" => "2008-12-19" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec160140" "palabras" => array:3 [ 0 => "Sarcoidosis" 1 => "multiple bilateral nodular shadows" 2 => "spontaneous remission" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec160141" "palabras" => array:3 [ 0 => "Sarcoidose" 1 => "múltiplos nódulos pulmonares bilaterais" 2 => "remissão espontânea" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0020" 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="spar0025" 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 multinucleated giant cells compatible with sarcoidosis.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">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 without treatment as shown on high resolution CT scan follow-up, one year later.</p>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<p id="spar0005" 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 aquando do diagnóstico são a presença de adenopatias hilares e infiltrados pulmonares.</p><p id="spar0010" 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.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Apesar de se tratar de uma sarcoidose pulmonar estádio III, a doente apresentava-se assintomática, o estudo funcional ventilatório era normal e não havia sinais 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>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography/Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "High-resolution CT findings of pulmonary sarcoidosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "Z.C. Traill" 1 => "G.F. Maskell" 2 => "F.V. Gleesson" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2214/ajr.168.6.9168723" "Revista" => array:7 [ "tituloSerie" => "AJR Am J Roentgenol" "fecha" => "1997" "volumen" => "168" "numero" => "6" "paginaInicial" => "1557" "paginaFinal" => "1560" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9168723" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sarcoidosis with multiple nodular shadows in bilateral lung fields" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "H. Nakamura" 1 => "K. Kashiwabara" 2 => "T. Watanabe" 3 => "H. Yagyu" 4 => "T. Kiguchi" 5 => "K. Matsuoka" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Intern Med" "fecha" => "1995" "volumen" => "34" "numero" => "11" "paginaInicial" => "1144" "paginaFinal" => "1145" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8774982" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Typical and atypical CT manifestations of pulmonary sarcoidosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "V.M. Hamper" 1 => "E.K. Fishman" 2 => "N.F. Khouri" 3 => "C.T. Jonhs" 4 => "K.P. Wong" 5 => "S.S. Siegelman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Comput Assist Tomogr" "fecha" => "1986" "volumen" => "10" "numero" => "6" "paginaInicial" => "928" "paginaFinal" => "936" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3782562" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sarcoidosis: epidemiology and prognosis. A 15-year European study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "G. Hillerdal" 1 => "E. Nou" 2 => "K. Osterman" 3 => "B. Schmekel" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/arrd.1984.130.1.29" "Revista" => array:7 [ "tituloSerie" => "Am Rev Respir Dis" "fecha" => "1984" "volumen" => "130" "numero" => "1" "paginaInicial" => "29" "paginaFinal" => "32" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6742607" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The clinical management of sarcoidosis. A 50-year experience at the Johns Hopkins Hospital" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.C. Johns" 1 => "T.M. Michele" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Medicine" "fecha" => "1999" "volumen" => "78" "numero" => "2" "paginaInicial" => "65" "paginaFinal" => "111" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10195091" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sarcoidosis Statement Committee. American Thoracic Society. European Respiratory Society. World Association for Sarcoidosis and Other Granulomatous Disorders" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "ATS/ERS/WASOG statement on sarcoidosis" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Eur Respir J" "fecha" => "1999" "volumen" => "14" "numero" => "4" "paginaInicial" => "735" "paginaFinal" => "737" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10573213" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sarcoidosis: Clinical update" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "U. Costabel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Respir J Suppl" "fecha" => "2001" "volumen" => "32" "paginaInicial" => "56s" "paginaFinal" => "68s" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11816825" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Medical progress: Sarcoidosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "l. Newman" 1 => "C. Rosen" 2 => "L. Maier" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM199704243361706" "Revista" => array:7 [ "tituloSerie" => "N Engl J Med" "fecha" => "1997" "volumen" => "336" "numero" => "2" "paginaInicial" => "1224" "paginaFinal" => "1234" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9110911" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sarcoidose" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A. Segorbe Luis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Tratado de Pneumologia da Sociedade Portuguesa de Pneumologia" "paginaInicial" => "1327" "paginaFinal" => "1338" "serieFecha" => "2003" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary sarcoidosis: role of CT in the evaluation of disease activity and functional impairment in prognosis assessment" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M. Remy-Jardin" 1 => "F. Giroud" 2 => "J. Remy" 3 => "L. Wattine" 4 => "B. Wallaert" 5 => "A. Duhamel" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/radiology.191.3.8184045" "Revista" => array:7 [ "tituloSerie" => "Radiology" "fecha" => "1994" "volumen" => "191" "numero" => "3" "paginaInicial" => "675" "paginaFinal" => "680" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8184045" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Corticosteroid treatment in sarcoidosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.C. Grutters" 1 => "J.M. van der Bosch" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1183/09031936.06.00105805" "Revista" => array:7 [ "tituloSerie" => "Eur Respir J" "fecha" => "2006" "volumen" => "28" "numero" => "3" "paginaInicial" => "627" "paginaFinal" => "648" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16946094" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Treatment of sarcoidosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R.P. Baughman" 1 => "U. Costabel" 2 => "R.M. du Bois" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ccm.2008.03.012" "Revista" => array:7 [ "tituloSerie" => "Clin Chest Med" "fecha" => "2008" "volumen" => "29" "numero" => "3" "paginaInicial" => "533" "paginaFinal" => "548" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18539243" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Therapy for sarcoidosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R.P. Baughman" 1 => "E.E. Lower" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Eur Respir Mon" "fecha" => "2005" "volumen" => "32" "paginaInicial" => "301" "paginaFinal" => "315" ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sarcoidosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S. Newman" 1 => "Y. Wasfi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:6 [ "editores" => "U.CorabelR.M.du BoisJ.J.Egan" "paginaInicial" => "128" "paginaFinal" => "138" "serieVolumen" => "36" "serieTitulo" => "Diffuse Parenchymal Lung Disease" "serieFecha" => "2007" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735115/0000001500000003/v1_201305151509/S2173511509701307/v1_201305151509/en/main.assets" "Apartado" => array:4 [ "identificador" => "9550" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Case Report/Caso Clínico" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735115/0000001500000003/v1_201305151509/S2173511509701307/v1_201305151509/en/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511509701307?idApp=UINPBA00004E" ]
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| 2024 April | 28 | 28 | 56 |
| 2024 March | 28 | 23 | 51 |
| 2024 February | 23 | 31 | 54 |
| 2024 January | 13 | 30 | 43 |
| 2023 December | 9 | 21 | 30 |
| 2023 November | 16 | 22 | 38 |
| 2023 October | 21 | 39 | 60 |
| 2023 September | 11 | 34 | 45 |
| 2023 August | 18 | 23 | 41 |
| 2023 July | 14 | 29 | 43 |
| 2023 June | 10 | 18 | 28 |
| 2023 May | 17 | 26 | 43 |
| 2023 April | 14 | 9 | 23 |
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