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Document Details :
Title: Een 34-jarige man met progressief toenemende hoest, dyspneu en gewichtsverlies
Author(s): VAN DYCK P, OP DE BEECK B, CORTHOUTS B, DE SCHEPPER A
Journal: Tijdschrift voor Geneeskunde
Volume: 59 Issue: 6 Date: 2003
A 34-year-old male patient with progressive cough, dyspnea and weight loss
We present a case of a 34-year-old male patient with progressive cough, dyspnea and weight loss. Since 1995, the patient has a known interstitial lung disease. Clinical and laboratory findings are nonspecific.
Findings on medical imaging (plain X-ray and CT scan of the chest) in 1995 revealed interstitial lung disease with areas of lung consolidation and mediastinal/hilar adenopathies. Control examinations were performed in 2001 because of a progressive dyspnea and mild hemoptysis; they revealed a progressive and currently cavitating lung pathology.
Pathological diagnosis after surgical biopsy revealed "sarcoidosis".
The patient deteriorated clinically and died 3 months later because of massive hemoptysis.
We report on a rare, nonspecific radiological presentation of a patient with pulmonary sarcoidosis, presenting with excavating lung pathology, and a clinical aggressive evolution with massive hemoptysis.