PULMONARY SARCOIDOSIS: CLINICAL-RADIOLOGICAL FINDINGS OF AN ORIGINAL CASE

Mayra Silvana Chavez Berrones; Nataly Sofia Valdiviezo Allauca; Veronica Dayana Vargas Guaman; Maricela De Los Angeles Damian Pacheco; Jeniffer Johanna Calderon Pazmino; Ana Gabriela Calderon Sanchez; Susana Patricia Palacios Serrano; Gabriela del Carmen Vargas Caiza

Volume : IX, Issue : VI, June - 2020

PULMONARY SARCOIDOSIS: CLINICAL-RADIOLOGICAL FINDINGS OF AN ORIGINAL CASE

Mayra Silvana Chavez Berrones, Nataly Sofia Valdiviezo Allauca, Veronica Dayana Vargas Guaman, Maricela De Los Angeles Damian Pacheco, Jeniffer Johanna Calderon Pazmino, Ana Gabriela Calderon Sanchez, Susana Patricia Palacios Serrano, Gabriela Del Carmen Vargas Caiza

Abstract :

Sarcoidosis is a systemic pathology that causes non-caseifying granulomas in one or more organs and tissues; of unknown cause. It most often affects the lungs and lymphatic system, however it can develop in any organ. Between 15-40% present with respiratory symptoms, the most frequent being cough and dyspnea.1 To reach the diagnosis, lung involvement (biopsy) must be suspected and this associated with imaging tests, and other causes of granulomatous inflammation must be excluded. The treatment is based on corticosteroids. Its prognosis is good when the disease is limited, but negative for more advanced cases.2 We present the case of a patient who attended the Quito-Ecuador Military Hospital with a clinical picture characterized by a cough with whitish expectoration, weight loss, a 6-month history of thermal increase that did not subside, despite analgesic medication prescribed by a private physician. She was admitted to extension studies where, after several diagnostic exclusions, pulmonary sarcoidosis was concluded, however, the patient presented clinical deterioration and died. As this is a disease that is difficult to explain and in addition to being rarely diagnosed in our setting, we decided to present this clinical case. Objective: Learn about pulmonary sarcoidosis through the presentation of a case, so that readers are trained to identify the key points of the pathology (main epidemiological, clinical, pathological characteristics and the different ways of reaching the diagnosis). Method: This is a retrospective study of pulmonary sarcoidosis sarcoma, emphasizing its clinical, radiological and histological characteristics. Conclusion: Sarcoidosis is a multisystemic, granulomatous disease of unknown etiology, with variable clinical presentation. The lung is the most affected organ (90% cases). The diagnosis is anatomical-pathological, in most cases, in particular situations it can be considered based on clinical-radiological findings. The first step in treatment is oral glucocorticoids.