The diagnosis of sarcoidosis pleurisy by medical thoracoscopy: Report of three cases

AKÇAY, MÜŞERREF ŞULE; PINELLI, Valentina; TASSI, Gian Franco; MARCHETTI, Gian Pietro

The diagnosis of sarcoidosis pleurisy by medical thoracoscopy: Report of three cases

MÜŞERREF ŞULE AKÇAY, (Başkent Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Antalya, Türkiye)

Valentina PINELLI, (Brescia Devlet Hastanesi, Pnömoloji Klin. Brascia, İtalya)

Gian Pietro MARCHETTI, (Brescia Devlet Hastanesi, Pnömoloji Klin. Brascia, İtalya)

Gian Franco TASSI (Brescia Devlet Hastanesi, Pnömoloji Klin. Brascia, İtalya)

Tüberküloz ve Toraks

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Yıl: 2008 Cilt: 56 Sayı: 4 Sayfa Aralığı: 429 - 433 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The diagnosis of sarcoidosis pleurisy by medical thoracoscopy: Report of three cases

Öz:

Sarkoidozisde plevral sıvı oluşumu nadirdir. Sarkoidozis plörezide torakoskopik gözlemlerle ilgili veriler de sınırlı sayıdadır. Bu sunumda torakoskopi ile tanı konmuş sarkoid-ilişkili plevral tutulumu olan üç olgu tanımlanmakta ve sarkoid plörezili olgulardan edindiğimiz torakoskopik gözlemlerimiz tartışılmaktadır. Plevral nodüllerin görünümü ve plevral yüzeylerdeki dağılımı üç olgunun her birinde farklılık göstermekteydi. Sarkoidozisde plevral tutulumun varlığı plevral yüzeydeki görünür nodüllerden alınan biyopsilerle kanıtlandı, plevral sıvı aspirasyonunu takiben üç olguda da işlem komplikasyonsuz sonlandırıldı. Olgulardaki plevral sıvıların semptomatik olması nedeniyle sistemik kortikosteroid tedavisi uygulandı. Sonuç olarak, sarkoid plörezide kesin tanı amacıyla torakoskopinin güvenle uygulanabileceği görüşündeyiz.

Anahtar Kelime: Biyopsi Torakoskopi Sarkoidoz, pulmoner Plörezi Plevral efüzyon Tanı, ayırıcı

Konular: Solunum Sistemi Kulak, Burun, Boğaz

Sarkoidozis plörezi tanısında medikal torakoskopi: Üç olgu bildirimi

Öz:

Pleural effusion in sarcoidosis is infrequent. The data on thoracoscopic observations of sarcoidosis pleurisy are limited. The present study describes three cases of sarcoid-related pleurisy diagnosed by medical thoracoscopy and discusses the thoracoscopic features of sarcoid pleuritis. The appearance of pleural nodules was completely different in the three cases, and the distribution of nodules of sarcoidosis was heterogenously located in the pleural surfaces. Pleural disease in sarcoidosis could be proved easily by sampling visible nodules, and pleural fluid could be aspirated without complications during thoracoscopy. Due to symptomatic pleurisy of sarcoidosis, therapy was given as systemic corticosteroid. In conclusion, thoracoscopy may be an appropriate alternative technique to obtain an accurate diagnosis in sarcoid pleurisy.

Anahtar Kelime: Pleurisy Pleural Effusion Diagnosis, Differential Biopsy Thoracoscopy Sarcoidosis, Pulmonary

Konular: Solunum Sistemi Kulak, Burun, Boğaz

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

1. Huggins J, Doelken P, Sahn S, et al. Pleural effusions in a series of 181 outpatients with sarcoidosis. Chest 2006;129: 1599-604.
2. Sharma OP, Gordonoson J. Pleural effusion in sarcoidosis: A report of six cases. Thorax 1975; 30: 95-101.
3. Soskel NT, Sharma OP. Pleural involvement in sarcoidosis. Curr Opin Pulm Med 2000; 6: 455-68.
4. Schaumann MJ. Etude anatomo-pathologique et histologique sur les localizations vicerales de la lymphagranulomatose benigne. Bull Soc Fr Dermatol Syphiligr 1933;40: 1167-78.
5. Szwarcberg JB, Glajchen N, Teirstein AS. Pleural involvement in chronic sarcoidosis detected by thoracic CT scanning. Sarcoidosis Vasc Diffuse Lung Dis 2005; 22: 58-62.
6. Beekman JF, Simmert SM, Chun PK, et al. Spectrum of pleural involvement in sarcoidosis. Arch Intern Med 1976; 136: 323-30.
7. Kanada DJ, Scott D, Sharma OP. Unusual presentations of pleural sarcoidosis. Br J Dis Chest 1980; 74: 203-5.
8. Boutin C, Loddenkemper R, Astoul P. Diagnostic and therapeutic thoracoscopy: Techniques and indications in pulmonary medicine. Tuber Lung Dis 1993; 74: 225-39.
9. Rodriguez-Panadero F, Janssen JP, Astoul P. Thoracoscopy: General overview and place in the diagnosis and management of pleural effusion. Eur Repir J 2006; 28:409-21.

APA	AKÇAY M, PINELLI V, MARCHETTI G, TASSI G (2008). The diagnosis of sarcoidosis pleurisy by medical thoracoscopy: Report of three cases. , 429 - 433.
Chicago	AKÇAY MÜŞERREF ŞULE,PINELLI Valentina,MARCHETTI Gian Pietro,TASSI Gian Franco The diagnosis of sarcoidosis pleurisy by medical thoracoscopy: Report of three cases. (2008): 429 - 433.
MLA	AKÇAY MÜŞERREF ŞULE,PINELLI Valentina,MARCHETTI Gian Pietro,TASSI Gian Franco The diagnosis of sarcoidosis pleurisy by medical thoracoscopy: Report of three cases. , 2008, ss.429 - 433.
AMA	AKÇAY M,PINELLI V,MARCHETTI G,TASSI G The diagnosis of sarcoidosis pleurisy by medical thoracoscopy: Report of three cases. . 2008; 429 - 433.
Vancouver	AKÇAY M,PINELLI V,MARCHETTI G,TASSI G The diagnosis of sarcoidosis pleurisy by medical thoracoscopy: Report of three cases. . 2008; 429 - 433.
IEEE	AKÇAY M,PINELLI V,MARCHETTI G,TASSI G "The diagnosis of sarcoidosis pleurisy by medical thoracoscopy: Report of three cases." , ss.429 - 433, 2008.
ISNAD	AKÇAY, MÜŞERREF ŞULE vd. "The diagnosis of sarcoidosis pleurisy by medical thoracoscopy: Report of three cases". (2008), 429-433.

APA	AKÇAY M, PINELLI V, MARCHETTI G, TASSI G (2008). The diagnosis of sarcoidosis pleurisy by medical thoracoscopy: Report of three cases. Tüberküloz ve Toraks, 56(4), 429 - 433.
Chicago	AKÇAY MÜŞERREF ŞULE,PINELLI Valentina,MARCHETTI Gian Pietro,TASSI Gian Franco The diagnosis of sarcoidosis pleurisy by medical thoracoscopy: Report of three cases. Tüberküloz ve Toraks 56, no.4 (2008): 429 - 433.
MLA	AKÇAY MÜŞERREF ŞULE,PINELLI Valentina,MARCHETTI Gian Pietro,TASSI Gian Franco The diagnosis of sarcoidosis pleurisy by medical thoracoscopy: Report of three cases. Tüberküloz ve Toraks, vol.56, no.4, 2008, ss.429 - 433.
AMA	AKÇAY M,PINELLI V,MARCHETTI G,TASSI G The diagnosis of sarcoidosis pleurisy by medical thoracoscopy: Report of three cases. Tüberküloz ve Toraks. 2008; 56(4): 429 - 433.
Vancouver	AKÇAY M,PINELLI V,MARCHETTI G,TASSI G The diagnosis of sarcoidosis pleurisy by medical thoracoscopy: Report of three cases. Tüberküloz ve Toraks. 2008; 56(4): 429 - 433.
IEEE	AKÇAY M,PINELLI V,MARCHETTI G,TASSI G "The diagnosis of sarcoidosis pleurisy by medical thoracoscopy: Report of three cases." Tüberküloz ve Toraks, 56, ss.429 - 433, 2008.
ISNAD	AKÇAY, MÜŞERREF ŞULE vd. "The diagnosis of sarcoidosis pleurisy by medical thoracoscopy: Report of three cases". Tüberküloz ve Toraks 56/4 (2008), 429-433.