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Sarcoidosis - Possible diagnosis or utter surprise?

Darina Ivanova, Boyan Balev

Abstract

Sarcoidosis is a multisystemic inflammatory disorder with unknown etiology. Its main characteristic is the formation of noncaseous epithelioid cell granulomas in the affected organs.
It is a systemic disease, but thoracic involvement is present in over 90% of cases. Although chest radiography is often the first method of choice in patients with pulmonary involvement, computed tomography (CT) and high resolution CT (HRCT) in particular are more sensitive for the detection of thoracic adenopathy and subtle changes in lung parenchyma.

Pulmonary sarcoidosis may manifest with various radiologic patterns. To achieve a timely diagnosis and help reduce associated morbidity and mortality, it is essential to recognize both the typical and the atypical clinico-radiological manifestations of the disease.

The aim of this presentation is to analyze and demonstrate both the typical and atypical CT changes found in 20 patients with histologically proven sarcoidosis. The presented data will also be supported by a brief review of literature.


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DOI: http://dx.doi.org/10.14748/hl.v20i1-2.1483

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