Pleural Sarcoidosis and Occult Lymphatic Anthracosis: An Unusual Symptomatic Association

  • Rosa Alves Department of Internal Medicine, Hospital Garcia de Orta, Almada, Portugal
  • Bruno Sousa Department of Internal Medicine, Hospital Garcia de Orta, Almada, Portugal
  • Francisco d'Orey Department of Intensive Medicine, Hospital Garcia de Orta, Almada, Portugal
  • Pedro Sequeira Department of Anatomical Pathology, Hospital Garcia de Orta, Almada, Portugal
  • Ana Oliveira Department of Anatomical Pathology, Hospital Garcia de Orta, Almada, Portugal
  • Tiago Judas Department of Internal Medicine, Hospital Garcia de Orta, Almada, Portugal
DOI: https://doi.org/10.12890/2020_001479

Keywords

Pleural effusion, pleural sarcoidosis, anthracosis, exhaustive investigation

Abstract

Sarcoidosis is a chronic multisystemic inflammatory disease of unknown aetiology. Virtually any organ or system can be involved, resulting in a wide range of clinical presentation. Pleural sarcoidosis is rare. Pleural effusion can only be attributed to pleural sarcoidosis in the presence of pleural non-caseating epithelioid granulomas and after excluding other granulomatous diseases. Anthracosis is a pneumoconiosis associated with thoracic adenopathies and bronchial disease, and it is usually asymptomatic. The authors present a case of a middle-aged man hospitalized due to cough, right-sided pleuritic chest pain and trepopnoea.

VIEW THE ENTIRE ARTICLE

References

  • Sunnetcioglu A, Sertogullarindan B, Batur A, Bayram I. A case of sarcoidosis with pleural involvement. Clin Respir J 2018;12(1):334–336.

  • Amiseno R, Ban AY, Masir N, Hamidi LR, Faisal Abdul Hamid M. Pleural anthracosis presenting with massive effusion: a rare entity. Respirol Case Rep 2018;7(2):e00390.

  • Fontecha Ortega M, Rodríguez Álvarez SJ, García Satué JL. Pleural Effusion: A Rare Manifestation of Sarcoidosis. Arch Bronconeumol 2017;53(3):170-171.

  • Rivera E, Gesthalter Y, Vardelaan P, Chee A, Majid A. Sarcoidosis with pleural effusion as the presenting symptom. J Bronchology Interv Pulmonol 2018;25(2):148–151.

  • Walker S, Adamali H, Bhatt N, Maskell N, Barratt SL. Pleuroparenchymal sarcoidosis a recognised but rare manifestation of disease. Respir Med Case Rep 2018;23:110–114.

  • Ferreiro L, San José E, González-Barcala FJ, Suárez-Antelo J,Toubes ME, Valdés L. Pleural effusion and sarcoidosis: an unusual combination. Arch Bronconeumol 2014;50(12):554–556.

  • Lee IS, Kim SB, Moon CS, Jung SM, Kim SY, Kim EY, et al. Sarcoidosis presenting with massive pleural effusion and elevated serum and pleural fluid carbohydrate antigen-125 levels. Tuberc Respir Dis (Seoul) 2012;73(6):320–324

  • Ferreiro L, Alvarez-Dobaño JM, Valdés L. Systemic diseases and the pleura. Arch Bronconeumol 2011;47(7):361–370.

  • Mirsadraee M. Anthracosis of the lungs: etiology, clinical manifestations and diagnosis: a review. Tanaffos 2014;13(4):1–13

    • Published: 2020-03-17

    Issue: Vol 7 No 5 (view)

    Section: Articles

    How to cite:
    1.
    Alves R, Sousa B, d’Orey F, Sequeira P, Oliveira A, Judas T. Pleural Sarcoidosis and Occult Lymphatic Anthracosis: An Unusual Symptomatic Association. EJCRIM 2020;7 doi:10.12890/2020_001479.

    Most read articles by the same author(s)