Sarkoidoza pleure

  • Dragana Jovanović Clinic for Lung Diseases, Clinical Center of Serbia, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia
  • Violeta Vučinić Clinic for Lung Diseases, Clinical Center of Serbia, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia
  • Ruža Stević Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Center for Radiology and Magnetic Resonance Imaging, Clinical Center of Serbia, Belgrade, Serbia
  • Marina Roksandić-Milenković Clinic for Lung Diseases, Clinical Center of Serbia, Belgrade, Serbia
  • Natalija Samardžić Clinic for Lung Diseases, Clinical Center of Serbia, Belgrade, Serbia
  • Marta Velinović Clinic for Lung Diseases, Clinical Center of Serbia, Belgrade, Serbia
  • Mihailo Stjepanović Clinic for Lung Diseases, Clinical Center of Serbia, Belgrade, Serbia
DOI: https://doi.org/10.2298/2391
Ključne reči: sarcoidosis||, ||sarkoidoza, pleural effusion||, ||pleura, izliv, biopsy||, ||biopsija, therapeutics||, ||lečenje lekovima,

Sažetak


Uvod. Zahvaćenost pleure je retka manifestacija sarkoidoze. Može se manifestovati kao pleuralni izliv, pneumotoraks, pleuralno zadebljanje, noduli, kao hidropneumotoraks, zarobljena pluća, hemotoraks ili hilotoraks. Učestalost pleuralnog izliva kod sarkoidoze kreće se od 0% do 5%, ali može biti i do 7,5%. Zahvaćenost pleure kod sarkoidoze javlja se kod < 3% bolesnika. Prikaz bolesnika. Prikazan je bolesnik, star 64 godine, sa hroničnom multiorganskom sarkoidozom. Bolesnik je razvio pleuralnu sarkoidozu sa masivnim pleuralnim izlivom nekoliko godina nakon postavljanja dijagnoze sarkoidoze. Definitivna dijagnoza sarkoidoznog pleuralnog izliva postavljena je na osnovu biopsije koja je pokazala nekazeifikovani granulom. Bolesnik je dobro reagovao na lečenje metotreksatom i metilprednisolonom, sa kompletnim povlačenjem pleuralnog izliva posle pet nedelja lečenja. Zaključak. Ovo je redak slučaj pleuralne zahvaćenosti sarkoidozom sa masivnim pleuralnim izlivom koji je dobro reagovao na lečenje.

Biografije autora

Dragana Jovanović, Clinic for Lung Diseases, Clinical Center of Serbia, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Sistem neće strelicama da napravi adekvatan raspored autora Dr Jovanovic je 1 autor
Violeta Vučinić, Clinic for Lung Diseases, Clinical Center of Serbia, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Sistem neće strelicama da napravi adekvatan raspored autora Dr Vučinić je 2 autor
Ruža Stević, Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Center for Radiology and Magnetic Resonance Imaging, Clinical Center of Serbia, Belgrade, Serbia
Sistem neće strelicama da napravi adekvatan raspored autora Dr Stević je 3 autor
Marina Roksandić-Milenković, Clinic for Lung Diseases, Clinical Center of Serbia, Belgrade, Serbia
Sistem neće strelicama da napravi adekvatan raspored autora Dr Roksandić je 4 autor
Natalija Samardžić, Clinic for Lung Diseases, Clinical Center of Serbia, Belgrade, Serbia
Sistem neće strelicama da napravi adekvatan raspored autora Dr Samardžić je 5 autor
Marta Velinović, Clinic for Lung Diseases, Clinical Center of Serbia, Belgrade, Serbia
Sistem neće strelicama da napravi adekvatan raspored autora Dr Velinović je 6 autor
Mihailo Stjepanović, Clinic for Lung Diseases, Clinical Center of Serbia, Belgrade, Serbia
Doktor medicine, akademski spec. pulmologije

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Objavljeno
2015/04/23
Broj časopisa
Vol. 71 Br. 5 (2014)
Rubrika
Prikaz bolesnika