A Case of Elderly Onset Sarcoidosis.
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- Sekiya Mitsuaki
- Department of Respiratory Medicine, Juntendo University School of Medicine
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- Ueki Jun
- Department of Respiratory Medicine, Juntendo University School of Medicine
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- Ienaga Hiroki
- Department of Respiratory Medicine, Juntendo University School of Medicine
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- Takahashi Hideki
- Department of Respiratory Medicine, Juntendo University School of Medicine
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- Dambara Takashi
- Department of Respiratory Medicine, Juntendo University School of Medicine
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- Fukuchi Yoshinosuke
- Department of Respiratory Medicine, Juntendo University School of Medicine
Bibliographic Information
- Other Title
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- 高齢発症のサルコイドーシスの1例
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Abstract
Although sarcoidosis is generally considered a disease of young and middle aged adults, there have been a certain number of cases among elderly. However it is unknown whether sarcoidosis in the elderly is recurrence of prior disease or initial onset at old ages. We present a 77-year-old woman with sarcoidosis the onset of which was considered to be in the last 6 months prior to the initial diagnosis. The patient was admitted to our hospital for further evaluation of bilateral hilar and mediastinal lymphadenopathy (BHL) and uveitis. BHL was not present in a chest radiograph taken 6 months prior to the admission. A clinical diagnosis of sarcoidosis was made by elevated serum angiotensin converting enzyme (ACE) and lysozyme (24.9IU/L and 18.2μg/ml, respectively), negative tuberculin skin test, concomitant presence of uveitis, and a high proportion of lymphocytes (33.2%) in bronchoalveolar lavage fluid with an elevated CD4/CD8 ratio (24.5). This is a noteworthy case of sarcoidosis in which we could confirm elderly onset of the disease.
Journal
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- Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
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Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 36 (10), 730-733, 1999
The Japan Geriatrics Society
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Details 詳細情報について
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- CRID
- 1390001205022932224
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- NII Article ID
- 130003652481
- 10008485800
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- NII Book ID
- AN00199010
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- ISSN
- 03009173
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- PubMed
- 10614128
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed