ABSTRACT
We report a case of thoracic sarcoidosis in a 72-year-old female, snuff taker, who presented with multinodular pulmonary lesions on chest x-ray. Clinical and biological findings were poor. Thoracic imaging showed soft tissue density nodules with irregular borders. The diagnosis of 'cannon ball' metastases was suspected. A thorough investigation strategy could not prove malignancy. A complete radiologic clearing was obtained spontaneously within three months. A rereading of pathology slides performed afterwards showed multinucleated giant cells on hemorrhagic background with a lymphocytic alveolitis. The diagnosis of pseudotumoral sarcoidosis was made. The clinical course was favorable with a 6years follow-up.
Subject(s)
Lung Neoplasms/diagnosis , Lung , Multiple Pulmonary Nodules/diagnosis , Sarcoidosis, Pulmonary/diagnosis , Aged , Biopsy , Diagnosis, Differential , Female , Giant Cells/pathology , Humans , Lung/diagnostic imaging , Lung/pathology , Lymphocytes/pathology , Multiple Pulmonary Nodules/diagnostic imaging , Multiple Pulmonary Nodules/pathology , Predictive Value of Tests , Remission, Spontaneous , Sarcoidosis, Pulmonary/diagnostic imaging , Sarcoidosis, Pulmonary/pathology , Time Factors , Tomography, X-Ray ComputedABSTRACT
A case report about a young patient with acute thromboembolism, the authors. If the clinical futures or relapsing thromboembolic accidents accuring on a young patient reveal a bronchial carcinoma, the authors insist on doing a systematic investigation looking for a neoplasma specially if patient is young and without a known thromboembolic risk.
Subject(s)
Lung Neoplasms/complications , Pulmonary Embolism/etiology , Thromboembolism/etiology , Adult , Age Factors , Humans , Male , Pulmonary Embolism/pathology , Recurrence , Thromboembolism/pathologyABSTRACT
Anti-tuberculosis have up set the out come of this disease, however undesirable effects principally hepatotoxicity remain of ten the ransom of this therapy success. 28 observations of hepatic toxicity in allergology pneumo service in military hospital of Tunisia during 5 years (1996-2001) among 321 tuberculosis. Hepatic toxicity is observed in 28 cases, 21 cytolytics, 3 cholostatics and 4 mixt. 3 decease (death) have been observed. Anti-tuberculosis medicament (medecine) are sometimes this cause of many undesirable effect, which can be miner or major and even cases of decease. So that we have to take an interest at time and specialty to follow recommandation which are more and more codified.
