Pulmonary Sarcoidosis Presenting with Miliary Opacities

Masato Taki; Naoya Ikegami; Chisato Konishi; Satoshi Nakao; Tomoko Funazou; Ryo Ariyasu; Masanori Yoshida; Kazuhiko Nakagawa; Kyouhei Morita; Moon Hee Hwang; Chie Yoshimura; Toshiaki Wakayama; Yasuo Nishizaka

doi:10.2169/internalmedicine.54.4681

CASE REPORTS

Pulmonary Sarcoidosis Presenting with Miliary Opacities

Masato Taki, Naoya Ikegami, Chisato Konishi, Satoshi Nakao, Tomoko Funazou, Ryo Ariyasu, Masanori Yoshida, Kazuhiko Nakagawa, Kyouhei Morita, Moon Hee Hwang, Chie Yoshimura, Toshiaki Wakayama, Yasuo Nishizaka

Author information

Masato Taki
Department of Respiratory Medicine, Osaka Red Cross Hospital, Japan
Naoya Ikegami
Department of Respiratory Medicine, Osaka Red Cross Hospital, Japan
Chisato Konishi
Department of Respiratory Medicine, Osaka Red Cross Hospital, Japan
Satoshi Nakao
Department of Respiratory Medicine, Osaka Red Cross Hospital, Japan
Tomoko Funazou
Department of Respiratory Medicine, Osaka Red Cross Hospital, Japan
Ryo Ariyasu
Department of Respiratory Medicine, Osaka Red Cross Hospital, Japan
Masanori Yoshida
Department of Respiratory Medicine, Osaka Red Cross Hospital, Japan
Kazuhiko Nakagawa
Department of Respiratory Medicine, Osaka Red Cross Hospital, Japan
Kyouhei Morita
Department of Respiratory Medicine, Osaka Red Cross Hospital, Japan
Moon Hee Hwang
Department of Respiratory Medicine, Osaka Red Cross Hospital, Japan
Chie Yoshimura
Department of Respiratory Medicine, Osaka Red Cross Hospital, Japan
Toshiaki Wakayama
Department of Respiratory Medicine, Osaka Red Cross Hospital, Japan
Yasuo Nishizaka
Department of Respiratory Medicine, Osaka Red Cross Hospital, Japan

Keywords: sarcoidosis, miliary, granuloma, glucocorticoid therapy

JOURNAL OPEN ACCESS

2015 Volume 54 Issue 19 Pages 2483-2486

DOI https://doi.org/10.2169/internalmedicine.54.4681

Details

Abstract

Lung lesions often appear in patients with sarcoidosis; however, miliary opacities are rare. We herein report the case of a 40-year-old woman with pulmonary sarcoidosis who presented with dyspnea on exertion. Subsequent computed tomography showed miliary opacities, and the presence of granulomas was confirmed by a transbronchial lung biopsy. Glucocorticoid therapy was initiated and the symptoms and miliary opacities rapidly improved. Although miliary sarcoidosis is uncommon, physicians should consider sarcoidosis in addition to tuberculosis, malignancy, and pneumoconiosis when presented with miliary opacities.

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