サルコイドーシスによる気管支ポリープが自然退縮した1例  [in Japanese] Spontaneous Regression of a Bronchial Polyp Associated with Sarcoidosis  [in Japanese]

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Abstract

背景.気管支内腔にポリープ状病変を来すサルコイドーシス症例は稀であり,経過を観察しうる症例は少ない.症例.39歳,男性.2006年12月に霧視を主訴に眼科を受診したところぶどう膜炎を指摘された.2007年1月にサルコイドーシス疑いにて当科を紹介受診した.気管支鏡検査を施行したところ,気管支内腔にポリープ状病変を伴うサルコイドーシスと診断された.その後外来にて経過観察され,胸部X線や胸部CTで縦隔・肺門リンパ節腫脹は軽快傾向にあった.同時期に施行された気管支鏡検査にてポリープ状病変も自然退縮していた.結論.当初気管支鏡所見でポリープ状病変を呈していたサルコイドーシスが6か月の経過で軽快した1例を経験した.

Background. Since sarcoidosis with polyp-like lesions in the bronchial lumen is rarely encountered, opportunities to observe the courses of such lesions are rare. Case. A 39-year-old man visited a local ophthalmologist due to blurred vision in December 2006, and was diagnosed with uveitis. In January 2007, he visited our department due to suspected sarcoidosis. After bronchoscopy, a diagnosis of sarcoidosis accompanied by a polyp-like lesion in the bronchial lumen was made. His subsequent course was observed on an outpatient basis. Chest radiography and CT showed reduction of mediastinal/hilar lymph node swelling, and bronchoscopy performed during the same period revealed spontaneous regression of the polyp-like lesion. Conclusion. We encountered a patient with sarcoidosis in whom a polyp-like lesion initially detected using bronchoscopy improved after observation of its course for 6 months.

Journal

  • The Journal of the Japan Society for Respiratory Endoscopy

    The Journal of the Japan Society for Respiratory Endoscopy 33(6), 481-485, 2011

    The Japan Society for Respiratory Endoscopy

References:  13

Codes

  • NII Article ID (NAID)
    110008896967
  • NII NACSIS-CAT ID (NCID)
    AN00357687
  • Text Lang
    JPN
  • Article Type
    NOT
  • ISSN
    0287-2137
  • Data Source
    CJP  NII-ELS  J-STAGE 
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