Progression of Central-peripheral Band and Traction Bronchiectasis Clusters Leading to Chronic Respiratory Failure in a Patient with Fibrotic Pulmonary Sarcoidosis

We herein report a rare case of pulmonary sarcoidosis leading to chronic respiratory failure with restrictive ventilatory impairment during a 53-year-long observation period. Nine years after the histological diagnosis of stage I sarcoidosis on chest X-ray in a woman in her 20s, she developed bilate...

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Veröffentlicht in:Internal Medicine 2021/01/01, Vol.60(1), pp.111-116
Hauptverfasser: Sawahata, Michiru, Shijubo, Noriharu, Johkoh, Takeshi, Kawanobe, Takeshi, Fujiki, Yasumaro, Bando, Masashi, Hagiwara, Koichi, Takemura, Tamiko, Konno, Satoshi, Yamaguchi, Tetsuo
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container_end_page 116
container_issue 1
container_start_page 111
container_title Internal Medicine
container_volume 60
creator Sawahata, Michiru
Shijubo, Noriharu
Johkoh, Takeshi
Kawanobe, Takeshi
Fujiki, Yasumaro
Bando, Masashi
Hagiwara, Koichi
Takemura, Tamiko
Konno, Satoshi
Yamaguchi, Tetsuo
description We herein report a rare case of pulmonary sarcoidosis leading to chronic respiratory failure with restrictive ventilatory impairment during a 53-year-long observation period. Nine years after the histological diagnosis of stage I sarcoidosis on chest X-ray in a woman in her 20s, she developed bilateral reticular and granular opacities on chest computed tomography and was started on prednisone for 18 years. Seven years after prednisone withdrawal, these persisting opacities around the bronchovascular bundle, including a central-peripheral band, had progressed, forming traction bronchiectasis clusters and peripheral cysts, some of which developed continuously at the distal side of these clusters, with eventual upper lobe shrinkage.
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source J-STAGE Free; MEDLINE; PubMed Central Open Access; PubMed Central
subjects Bronchiectasis
Bronchiectasis - complications
Bronchiectasis - diagnostic imaging
Case Report
Chest
chronic respiratory failure
Computed tomography
cyst
Cysts
Female
fibrosis
Humans
Internal medicine
Prednisone
Respiratory Insufficiency - etiology
Sarcoidosis
Sarcoidosis, Pulmonary - diagnosis
Sarcoidosis, Pulmonary - diagnostic imaging
Traction
traction bronchiectasis
title Progression of Central-peripheral Band and Traction Bronchiectasis Clusters Leading to Chronic Respiratory Failure in a Patient with Fibrotic Pulmonary Sarcoidosis
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